Comparing two types of nerve blocks for pain relief in femur fracture surgery
Comparison of Ease of SPINAL Positioning Between USG Guided Supra-inguinal Fascia Iliaca Block vs USG Guided Pericapsular Nerve Group Block in Patients Undergoing Femur Fracture Surgery
This study is testing which of two types of nerve blocks can provide better pain relief for patients having surgery for femur fractures.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Enrollment | 70 (estimated) |
| Ages | 20 Years to 70 Years |
| Sex | All |
| Sponsor | Sahiwal medical college sahiwal Government |
| Locations | 1 site (Sahiwal, Punjab Province) |
| Trial ID | NCT06568770 on ClinicalTrials.gov |
What this trial studies
This study aims to compare the effectiveness of two ultrasound-guided nerve blocks, the Supra-inguinal Fascia Iliaca Block (S-FICB) and the Pericapsular Nerve Group Block (PENG), in providing pain relief for patients undergoing surgery for femur fractures. Patients will be randomly assigned to one of the two groups, and their pain levels will be assessed before and after the procedure using a numeric pain rating scale. The study will utilize a double-blind design to ensure unbiased results, with both the observer and patients unaware of the group assignments. The goal is to determine which nerve block technique offers superior analgesic efficacy during and after surgery.
Who should consider this trial
Good fit: Ideal candidates for this study are adults aged 20 to 70 years with a radiologically confirmed femur fracture and classified as ASA Class I, II, or III.
Not a fit: Patients who may not benefit include those with contraindications to spinal anesthesia or peripheral nerve blocks, significant cognitive impairment, or those who do not experience pain while sitting.
Why it matters
Potential benefit: If successful, this study could lead to improved pain management strategies for patients undergoing femur fracture surgery.
How similar studies have performed: While both nerve blocks have been studied individually, this is one of the few studies comparing their efficacy under ultrasound guidance, making it a novel approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * 1\. Both Genders (Male /Female). 2. Age between 20 years to 70 years. 3. Radiologically confirmed femur fracture. 4. ASA Class I, II, III. Exclusion Criteria: 1. Patient refusal 2. Other distracting painful pathology 3. Any contraindication to Spinal Anesthesia or peripheral nerve blocks 4. Coagulopathic disorders 5. H/O ischemic heart disease 6. Patients on opioids for chronic pain 7. Patients with significant cognitive impairment 8. Patients with no pain while sitting by themselves without any support.
Where this trial is running
Sahiwal, Punjab Province
- Sahiwal Medical College — Sahiwal, Punjab Province, Pakistan (Recruiting)
Study contacts
- Study coordinator: Dr Shajeea Asghar, MBBS
- Email: shajeea55.sa@gmail.com
- Phone: 00923217731060
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.