Pericapsular nerve group (PENG) block for early pain management of elderly patients with hip fracture: a single-center double-blind randomized controlled trial
| Autor: | XUFENG LIN, Christopher Weiyang Liu, Qing Yuan Goh, Eileen Yilin Sim, Steffi Kang Ting Chan, Zhen Wei Lim, Diana Xin Hui Chan |
|---|---|
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Regional Anesthesia & Pain Medicine. :rapm-2022 |
| ISSN: | 1532-8651 1098-7339 |
| Popis: | BackgroundThe pericapsular nerve group block (PENG) is a novel technique that blocks the articular branches of the hip joint. This study aimed to compare its effectiveness to a sham block in elderly patients with hip fractures.MethodA randomized double-blind controlled trial was conducted in elderly patients with intertrochanteric and neck of femur fractures. Patients were randomized to receive either PENG block or a sham block. Postblock, systemic analgesia was titrated using a standardized protocol of acetaminophen, oral morphine or patient-controlled analgesia. The primary outcome was the dynamic pain score (Numerical Rating Scale 0–10) at 30 min postblock. Secondary outcomes included pain scores at multiple other time points and 24-hour opioid consumption.Results60 patients were randomized and 57 completed the trial (PENG n=28, control n=29). Patients in PENG group had significantly lower dynamic pain scores at 30 min compared with control group (median (IQR) 3 (0.5–5) vs 5 (3–10), pConclusionPENG block provided effective analgesia for acute traumatic pain following hip fracture. Further studies are required to validate the superiority of PENG blocks over other regional techniques.Trial registration numberNCT04996979. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|