Anterior iliopsoas space block versus PENG block to make positioning for spinal anesthesia easier in people having hip surgery
Official title: Impact of Anterior Iliopsoas Space Block Versus PENG Block on Ease of Positioning for Spinal Anathesia in Patients Undergoing Hip Surgeries ;Randomized Clinical Trial
Run by Benha University · NCT07467356 · Data updated 2026-11-12
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 |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | Benha University Academic / other |
| Locations | 1 site (Banhā, Elqalyoubea) |
| Status | Recruiting |
| Started | March 15, 2026 |
| Main results expected | November 1, 2026 |
| Study ends | November 15, 2026 |
| Registry record updated | October 16, 2026 |
| Trial ID | NCT07467356 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a 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.
✕Probably 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.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
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.
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 gone: 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.
Who can join: the full rules
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 it's running
-
Banha Faculity of Medicine
Banhā, Elqalyoubea, Egypt Recruiting
Study contacts
- Study coordinator: fatma ahmed abdelfatah, MD
- Email: drfatmaahmed86@gmail.com
- Phone: 00201091921540
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Dexmedetomidine as add-on for refractory cancer pain in palliative care
This study tests whether adding dexmedetomidine helps improve pain control for adults with cancer in palliative care whose pain remains high despite opioids.
-
Two Ways to Help Pain After Breast Surgery: Education-Based Analgesia vs Standard Care
This trial tests whether teaching patients about pain management and using a multimodal pain plan improves pain control and recovery after breast surgery compared with standard care.
-
Virtual Reality Therapy to Improve Arthroplasty Outcomes
This pilot test checks whether using virtual reality during the perioperative period helps knee or hip replacement patients feel better about their care and recover more easily.
-
Suzetrigine for pain relief after knee replacement
This trial tests whether suzetrigine can reduce opioid use after a total knee replacement compared with placebo.
-
Analgesic effects of adding BiFeS block to adductor canal block after ACL reconstruction
This study tests whether adding a BiFeS block to the standard adductor canal block provides better pain relief after ACL reconstruction.
-
Tegileridine for pain after bariatric surgery
This phase 3 trial tests tegileridine vs standard opioid medicine to see if it provides good pain relief after bariatric surgery while considering sleep apnea status.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.