An interventional study of Pericapsular nerve group (PENG) block and Fascia iliaca compartment block (FICB) in Hip Fractures and Regional Anesthesia, sponsored by Asan Medical Center. Completed at 1 site in Korea, Republic of. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2022-03-23.
Sponsored by Asan Medical Center · Not applicable, Interventional, and Supportive care
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.
2,261 studies on the registry are indexed under Fractures, Bone; 325 are open to participants now.
This study's enrollment of 80 is above the median of 69 across 1,482 interventional studies indexed under Fractures, Bone.
Browse Fractures, Bone studies →Asan Medical Center is the lead sponsor of 562 studies on the registry; 71 are open to participants now.
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Exclusion Criteria:
pericapsular nerve group (PENG) block before surgery
Procedure: Pericapsular nerve group (PENG) block
suprainguinal fascia iliaca compartment block (FICB) before surgery
Procedure: Fascia iliaca compartment block (FICB)
ultrasound-guided PENG block with 0.3% ropivacaine 20cc
ultrasound-guided suprainguinal FICB with 0.3% ropivacaine 30cc
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)
Time frame: before surgery
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.
Time frame: before surgery
postoperative pain score
resting and dynamic pain using NRS at postoperative 6, 24, 48hours NRS: Numerical rating scale (0, no pain; 10, the worst pain imaginable)
Time frame: postoperative 6, 24, 48hours
postoperative opioid consumption
morphine-equivalent dose
Time frame: 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
Time frame: 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.
Time frame: before surgery
Plan to share: No
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This study is completed, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.
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Asan Medical Center