Pain medicine

Pericapsular nerve group (PENG) block for early pain management of elderly patients with hip fracture: a single-center double-blind randomized controlled trial

Reg Anesth Pain MedPublished Randomised controlled trial

Authors' conclusion

PENG block provided effective analgesia for acute traumatic pain following hip fracture.

Study context

Population
Elderly patients with intertrochanteric and neck of femur fractures57 completed
Participants
60 patients
Comparison
PENG block vs sham block
  • PENGn = 28
  • Controln = 29reference
Primary endpoint
Dynamic pain score (NRS 0-10)
Follow-up
30 min postblock
Methodological detailsdouble-blind, sham-controlled, single-centre, Postblock systemic analgesia titrated by standardized protocol (acetaminophen, oral morphine or PCA)
  • Double-blind
  • Sham-controlled
  • Single-centre
  • Postblock systemic analgesia titrated by standardized protocol (acetaminophen, oral morphine or PCA)

Primary result

As reported in the abstract

PENG

3

median · IQR 0.5–5

Control

5

median · IQR 3–10

P < 0.01

Secondary outcomes

24-hour opioid consumption (oral morphine equivalent dose)

P < 0.05

Median

OutcomePENGControlP value
Dynamic pain score · 1 hour postblock2 (IQR 1–3.25)— not stated in the abstractP < 0.01
Dynamic pain score · 3 hours postblock2 (IQR 0–5)— not stated in the abstractP < 0.05

— not stated in the abstract

Original publication

Pericapsular nerve group (PENG) block for early pain management of elderly patients with hip fracture: a single-center double-blind randomized controlled trial. Reg Anesth Pain Med. Published 13 April 2023. doi:10.1136/rapm-2022-104117

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