PENG vs FICB for Hip Fracture in ED Patients
Comparison of Pericapsular Nerve Group Block (PENG) Versus Fascia Iliaca Compartment Block (FICB) for Hip Fracture Analgesia in Emergency Department Patients
University of Virginia
50 participants
Sep 30, 2022
INTERVENTIONAL
Conditions
Summary
Regional anesthesia for hip fractures has been shown to decrease rates of delirium in elderly patients with hip fractures as well as improve pain compared to systemic opioids. The Pericapsular Nerve Group (PENG) block has recently received attention as an alternative approach to femoral nerve block and Fascia Iliaca Compartment Block (FICB). The investigators seek to evaluate if there is a difference between the PENG and FICB in terms of efficacy of pain control in ED patients presenting with hip fracture. We hypothesize that the PENG block may be superior based on previous research.
Eligibility
Inclusion Criteria1
- Proximal femur fracture
Exclusion Criteria5
- refusal to consent
- hemodynamic instability
- allergy to local anesthetics
- severe injury with instability
- severe medical conditions with instability
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Interventions
patients will receive an ultrasound-guided Pericapsular Nerve Group Block with 20mL of 0.25% bupivacaine (not to exceed 2mg/kg)
Patients will receive an ultrasound-guided Fascia Iliaca Compartment Block with 20 mL of 0.25% bupivacaine (not to exceed 2 mg/kg) diluted to total volume of 40 mL of injectate
Locations(1)
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NCT05505604