Analgesic efficacy of Pericapsular Nerve Group (PENG) block compared with Fascia Iliaca Block (FIB) in the elderly patient with fracture of the proximal femur in the emergency room. A randomised controlled trial.
Rev Esp Anestesiol Reanim (Engl Ed)
; 70(9): 501-508, 2023 11.
Article
en En
| MEDLINE
| ID: mdl-37678449
ABSTRACT
INTRODUCTION AND OBJECTIVES:
Data on the efficacy of PENG (Pericapsular Nerve Group) block in hip trauma pain are scarce. We hypothesized that PENG block was more effective than infra-inguinal ultrasound-guided FIB (Fascia Iliaca block) for pain control in patients aged 65 years or older presenting in the emergency room (ER) with traumatic proximal femoral fracture. MATERIALS ANDMETHODS:
We conducted an exploratory, double-blind, randomized controlled trial. One anaesthesiologist performed the block and another assessed outcomes. Patients were randomly allocated to the PENG group (20â¯ml ropivacaine 0.375%) or the infrainguinal FIB group (40â¯ml ropivacaine 0.2%). Standard hypothesis tests (t test or χ2 test) were performed to analyse baseline characteristics and outcome parameters. The primary end-point of the study was analgesic success, defined as "NRS pain scoreâ¯≤â¯4" 30â¯min after blockade, with PENG vs to FIB. Secondary outcomes were pain at rest ("pain at rest NRS scoreâ¯≤â¯4" 30â¯min after blockade), duration of analgesia (time to first request for analgesia), need for rescue medication in case of block failure, and complications during blockade.RESULTS:
After obtaining ethical committee approval and written informed consent, 60 patients were included. The primary endpoint was achieved in 16 out of 30 patients (53.3%) in the PENG group and in 15 out of 28 patients (53.6%) in the FIB group. Comparison between groups did not show superiority of the PENG vs FIB (P-value .98).CONCLUSIONS:
PENG block does not provide better pain than FIB in proximal femoral fracture in elderly patients treated in the ER.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Fracturas Óseas
/
Nervio Femoral
Tipo de estudio:
Clinical_trials
Límite:
Aged
/
Humans
Idioma:
En
Revista:
Rev Esp Anestesiol Reanim (Engl Ed)
Año:
2023
Tipo del documento:
Article