Comparison of PENG Block and FICB in Hip Fracture Patients

NCT ID: NCT04677348

Last Updated: 2022-03-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-21

Study Completion Date

2022-02-11

Brief Summary

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Fascia iliaca compartment block (FICB) has been considered the block of choice for patients with hip fracture. However, pericapsular nerve group (PENG) block, one of the relatively newly-developed blocks, could be also used for analgesia in patients with hip fracture. Since PENG block could block the accessory obturator nerve, PENG block might have greater analgesic effects compared to FICB theoretically. However, the comparison of these two blocks in patients with hip fracture has not performed in clinical setting. Thus, we aimed to compare the analgesic effect of PENG block and FICB.

Detailed Description

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Conditions

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Hip Fractures Regional Anesthesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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PENG group

pericapsular nerve group (PENG) block before surgery

Group Type EXPERIMENTAL

Pericapsular nerve group (PENG) block

Intervention Type PROCEDURE

ultrasound-guided PENG block with 0.3% ropivacaine 20cc

FICB group

suprainguinal fascia iliaca compartment block (FICB) before surgery

Group Type ACTIVE_COMPARATOR

Fascia iliaca compartment block (FICB)

Intervention Type PROCEDURE

ultrasound-guided suprainguinal FICB with 0.3% ropivacaine 30cc

Interventions

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Pericapsular nerve group (PENG) block

ultrasound-guided PENG block with 0.3% ropivacaine 20cc

Intervention Type PROCEDURE

Fascia iliaca compartment block (FICB)

ultrasound-guided suprainguinal FICB with 0.3% ropivacaine 30cc

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* ASA PS 1-4
* age: ≥19
* baseline pain score (associated with hip fracture): ≥4

Exclusion Criteria

* patients who do not agree to participate in this study
* patients with uncontrolled hypertension, hyperthyroidism, severe dementia
* allergic to ropivacaine
* contraindicated to spinal anesthesia due to coagulopathy, severe aortic stenosis/mitral stenosis, or active infection on lumbar region
* patients who are considered ineligible with any other reason by investigators
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Asan Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Hajung Kim

Clinical assistant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Won Uk Koh, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Asan Medical Center

Locations

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Asan Medical Center

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Koh WU, Kim H, Kim YJ, Park JI, Yeo HJ, Ro YJ, Kim HJ. Comparison of analgesic effect of pericapsular nerve group block and supra-inguinal fascia iliaca compartment block on dynamic pain in patients with hip fractures: a randomized controlled trial. Reg Anesth Pain Med. 2025 Aug 5;50(8):635-640. doi: 10.1136/rapm-2024-105627.

Reference Type DERIVED
PMID: 38866559 (View on PubMed)

Other Identifiers

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2020-1822

Identifier Type: -

Identifier Source: org_study_id

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