PENG vs. FIC Block for Hip Fracture ED Patients

Launched by ANTONIOS LIKOUREZOS · Oct 20, 2021

Keywords

ClinConnect Summary

This clinical trial is studying two different methods of pain relief for patients with hip fractures who come to the emergency department (ED). The researchers want to compare two types of ultrasound-guided nerve blocks: the PENG block and the FIC block. Both blocks help reduce pain without relying heavily on opioids, which can cause harmful side effects, especially in older patients. The goal is to see if the PENG block works just as well as the FIC block in managing pain after a hip fracture.

Patients who might be eligible for this trial are adults over 18 years old with a specific type of hip fracture and a pain score of 5 or higher on a scale of 0 to 10. However, those with serious injuries, certain health issues, or who are pregnant or underage cannot participate. If enrolled, participants will receive a small dose of morphine to help with pain before the nerve block is placed, and their pain levels will be checked before and after the procedure. This study aims to find the best way to manage pain for patients with hip fractures, helping them recover more comfortably.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Adult Emergency Medicine Patients over 18 years of age
• • Isolated hip fracture, intertrocanteric or more proximal
• • Pain score 5 or greater on a scale of 0 to 10 just prior to nerve block placement
• Exclusion Criteria:
• • Patients with multi-system trauma
• • People who are unable to communicate their level of pain\\
• • Pregnant patients
• • Pediatric Patients (less than 18 years of age)
• • Intoxicated Patients
• • Abnormal Vital Signs (HR\>120bpm, MAP \<65, Pulse Ox \<95%)
• • Patients on long term systemic opioid analgesia
• • Allergy to amide local anesthetics