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NCT05370586

PENG Block vs Fascia Iliaca Block for Emergency Department Analgesia in Hip Fractures

Completed NA Last updated 1 October 2024
What this trial tests

NA trial testing Pericapsular nerve Group Block in Hip Fractures in 64 participants. Completed in 16 August 2024.

Timeline
30 July 2022
Primary endpoint
16 August 2024
16 August 2024

Quick facts

Lead sponsorFondazione IRCCS Policlinico San Matteo di Pavia
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment64
Start date30 July 2022
Primary completion16 August 2024
Estimated completion16 August 2024
Sites1 location across Italy

Drugs / interventions tested

Conditions studied

Sponsor

Fondazione IRCCS Policlinico San Matteo di Pavia

Who can join

18 and older, any sex, with Hip Fractures. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Pain management is a crucial aspect of the care of hip fracture patients. Patients with poorly controlled pain have an increased risk of delirium, long-term functional impairment, and remain hospitalized longer. Today, to relieve hip fracture pain, fascia iliaca block is routinely performed in the emergency department in addition to other pain medications administered by vein or by mouth. Several studies have questioned the analgesic efficacy of this block, suggesting the superiority of the newer PENG block. The purpose of this multicenter, randomized study is to compare the analgesic efficacy of PENG block versus fascia iliaca block, hypothesizing the superiority of the new approach over the gold standard. Participants will be blindly assigned in a 1:1 ratio to the study or control group, recruited from the Emergency Departments of IRCCS Policlinico San Matteo and Colchester Hospital (UK). The main outcome is represented by the reduction of pain after the two blocks, measured as %SPID (percentage of "pain intensity difference"), a value derived from VAS scale measurements in the first hour post-procedure. Secondly, we will evaluate the proportion of patients with satisfactory pain control, the amount of opioids used and the safety profile of the two approaches.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Comparing the pericapsular nerve group block and fascia iliaca block for acute pain management in patients with hip fracture: a randomised clinical trial.
    Di Pietro S, Maffeis R, Jannelli E, Mascia B, et al · · 2025 · cited 9× · PMID 40727959 · DOI 10.1111/anae.16695

Verify or expand the search:

Other recruiting trials for Hip Fractures

Currently open trials in the same condition.

Other Fondazione IRCCS Policlinico San Matteo di Pavia trials

Trials by the same sponsor.

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Data sources for this page

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