Comparing PENG block and PAI block for pain relief after hip surgery
The Analgesic Efficacy of Pericapsular Nerve Group Block (PENG) in Comparison With Periarticular Local Anesthetic Infiltration (PAI) Undergoing Hip Hemiarthroplasty : a Randomized Controlled Study
This study is testing whether a new pain relief method called the PENG block works better than the PAI block for people recovering from hip surgery.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 54 (estimated) |
| Ages | 50 Years to 90 Years |
| Sex | All |
| Sponsor | Fayoum University Hospital Academic / other |
| Locations | 1 site (Al Fayyum) |
| Trial ID | NCT06677606 on ClinicalTrials.gov |
What this trial studies
This intervention compares the effectiveness of pericapsular nerve group (PENG) block versus periarticular anesthetic infiltration (PAI) block in managing postoperative pain for patients undergoing hemiarthroplasty after spinal anesthesia. Participants will be randomly assigned to receive either the PENG block or the PAI block. The study aims to determine which method provides better analgesic efficacy and motor-sparing effects. It will be conducted at Fayoum University Hospital, with patient enrollment starting in October 2024.
Who should consider this trial
Good fit: Ideal candidates are patients aged 50 to 90 years scheduled for elective bipolar hemiarthroplasty with ASA physical status I to III.
Not a fit: Patients who may not benefit include those with contraindications to spinal anesthesia, significant coagulopathy, or allergies to local anesthetics.
Why it matters
Potential benefit: If successful, this study could lead to improved pain management strategies for patients undergoing hip hemiarthroplasty.
How similar studies have performed: While similar approaches have been explored, this specific comparison of PENG and PAI blocks in this context is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: ages from 50 to 90 years and undergoing bipolar hemiarthroplasty in Fayoum university hospital American Society of Anesthesiologists (ASA) physical status I to III,. Exclusion Criteria: Patient refusal. contraindication to spinal anesthesia . clinically significant coagulopathy. infection at the injection site. allergy to local anesthetics. body mass index\>35 kg m2., diabetic or other neuropathies. patients receiving opioids for chronic analgesic therapy. \-
Where this trial is running
Al Fayyum
- Fayoum university hospital — Al Fayyum, Egypt (Recruiting)
Study contacts
- Principal investigator: Mohamed A Hamed, MD — Faculty of medicine, Fayoum university
- Study coordinator: mohamed I kamaleldeen, Bch
- Email: moh.bra1993@gmail.com
- Phone: 01033938930
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.