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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PENG group | Experimental | pericapsular nerve group (PENG) block before surgery |
|
| FICB group | Active Comparator | suprainguinal fascia iliaca compartment block (FICB) before surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pericapsular nerve group (PENG) block | Procedure | ultrasound-guided PENG block with 0.3% ropivacaine 20cc |
|
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of each block (Pain score) | We will assess the dynamic pain (pain during a movement) using NRS before and 20-30min after applying the assigned block. Then, we will calculate the change of NRS at the two time-points. NRS: Numerical rating scale (0, no pain; 10, the worst pain imaginable) | before surgery |
| Measure | Description | Time Frame |
|---|---|---|
| change of blood pressure (systolic, diastolic, mean blood pressure) | We will evaluate the blood pressure before and 20-30min after applying the assigned block. Then, we will calculate the change of blood pressure at the two time-points. | before surgery |
| postoperative pain score |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Won Uk Koh, MD, PhD | Asan Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Asan Medical Center | Seoul | 05505 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38866559 | Derived | 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. |
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| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
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| ID | Term |
|---|---|
| D003766 | Dental Occlusion |
| ID | Term |
|---|---|
| D003813 | Dentistry |
| D009063 | Dental Physiological Phenomena |
| D055688 | Digestive System and Oral Physiological Phenomena |
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| Fascia iliaca compartment block (FICB) | Procedure | ultrasound-guided suprainguinal FICB with 0.3% ropivacaine 30cc |
|
resting and dynamic pain using NRS at postoperative 6, 24, 48hours NRS: Numerical rating scale (0, no pain; 10, the worst pain imaginable) |
| postoperative 6, 24, 48hours |
| postoperative opioid consumption | morphine-equivalent dose | postoperative 24, 48hours |
| postoperative motor function | motor function of quadriceps femoris grade5: normal power grade4: movement possible against some resistance grade3: movement against gravity but not resistance grade2: movement possible if gravity eliminated grade1: flicker of contraction possible grade0: complete paralysis | postoperative 6, 24, 48hours |
| change of heart rate | We will evaluate the heart rate before and 20-30 min after applying the assigned block. Then, we will calculate the change of heart rate at the two time-points. | before surgery |
| D007869 |
| Leg Injuries |