Anterior iliopsoas space block versus PENG block to make positioning for spinal anesthesia easier in people having hip surgery
Impact of Anterior Iliopsoas Space Block Versus PENG Block on Ease of Positioning for Spinal Anathesia in Patients Undergoing Hip Surgeries ;Randomized Clinical Trial
This trial will test whether an anterior iliopsoas space block or a PENG block makes it easier to position adults having hip surgery for spinal anesthesia.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Enrollment | 90 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Benha University Academic / other |
| Locations | 1 site (Banhā, Elqalyoubea) |
| Trial ID | NCT07467356 on ClinicalTrials.gov |
What this trial studies
This Phase 3 interventional trial compares two regional nerve block techniques—anterior iliopsoas space block and PENG block—used before spinal anesthesia for hip surgeries. Participants will receive one of the two blocks using bupivacaine to provide perioperative analgesia and to facilitate patient positioning for spinal anesthesia. Investigators will measure ease of positioning as the primary outcome and will also collect data on postoperative pain, opioid consumption, and early mobility. The trial enrolls adult patients (ASA I–II) undergoing procedures such as dynamic hip screw fixation or hemiarthroplasty at Benha Faculty of Medicine in Egypt.
Who should consider this trial
Good fit: Adults over 18 with recent hip fracture scheduled for hip surgery under spinal anesthesia (ASA class I–II and surgery within about two weeks) are the ideal candidates.
Not a fit: Patients with contraindications to spinal anesthesia or peripheral nerve blocks, those with ischemic heart disease, chronic opioid use, or significant cognitive impairment are unlikely to benefit or be eligible.
Why it matters
Potential benefit: If successful, the better block could make spinal anesthesia positioning easier, reduce pain, and lower opioid needs after hip surgery.
How similar studies have performed: PENG block has shown benefit in prior clinical reports for hip analgesia and positioning, while the anterior iliopsoas space block is a newer technique with limited clinical outcome data.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * (ASA )classes I and II * patients of either sex, above the age of 18 who will undergo hip surgeries( (Dynamic hip screw fixation or hemiarthroplasty)(not older than 2 weeks) with persistent pain and scheduled for surgery under SA with an expected duration of 2.5 hours Exclusion Criteria: * patient's refusal to participate * any contraindications to SA or peripheral nerve blocks * history of ischemic heart disease * patients on opioids for chronic pain * patients with significant cognitive impairment.
Where this trial is running
Banhā, Elqalyoubea
- Banha Faculity of Medicine — Banhā, Elqalyoubea, Egypt (Recruiting)
Study contacts
- Study coordinator: fatma ahmed abdelfatah, MD
- Email: drfatmaahmed86@gmail.com
- Phone: 00201091921540
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.