PENG block added to spinal anesthesia in kids having hip surgery
Official title: Pericapsular Nerve Group Block Mitigates Surgical Stress and Enhances Analgesia in Pediatric Hip Surgery: A Randomized Controlled Trial
Run by Poznan University of Medical Sciences · NCT07607535 · Data updated 2026-11-12
This study tests whether adding a PENG block to spinal anesthesia can lower inflammation after hip surgery in children aged 3–8.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 3 Years to 8 Years |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Poznan University of Medical Sciences Academic / other |
| Locations | 1 site (Skórzewo, Poznań) |
| Status | Recruiting |
| Started | June 1, 2026 |
| Main results expected | July 31, 2027 |
| Study ends | August 31, 2027 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07607535 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are children aged 3–8 years scheduled for elective unilateral hip surgery, with ASA I–III and parental/guardian consent.
✕Probably not a fit
Patients who do not show a reduced inflammatory response or have contraindications to regional anesthesia may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, randomized, double-blind, single-center trial in children undergoing elective unilateral hip surgery. Participants are assigned 1:1 to receive spinal anesthesia alone or spinal anesthesia with an ultrasound-guided PENG block, plus a sham procedure in the control group to maintain blinding. The primary outcome is the Systemic Inflammation Response Index (SIRI) at 12 hours after surgery; secondary outcomes include other inflammatory markers, pain scores, opioid use, time to first rescue analgesia, and adverse effects. Standard perioperative care is applied to all patients. The study uses ropivacaine 0.2% with saline as the intervention and placebo components as appropriate for blinding.
Why it matters
Potential benefit: If successful, the approach could reduce systemic inflammation and pain, potentially lowering opioid needs and improving recovery after pediatric hip surgery.
How similar studies have gone: There is limited prior evidence on PENG blocks affecting systemic inflammation in children; this study explores a relatively novel application.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 3-8 years * Scheduled for elective unilateral hip surgery * American Society of Anesthesiologists (ASA) physical status I-III * Written informed consent from the parent or legal guardian Exclusion Criteria: * Contraindications to spinal anesthesia or PENG block * Infection at the planned needle insertion site * Coagulation disorders * Chronic immunosuppressive therapy or chronic steroid use * Active infection or inflammatory disease * Ongoing oncological treatment * Known allergy to local anesthetics or study-related medications * Conversion to general anesthesia * Refusal to participate
Where it's running
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Poznan University of Medical Sciences
Skórzewo, Poznań, Poland Recruiting
Study contacts
- Study coordinator: Małgorzata Reysner, MD PhD
- Email: mreysner@ump.edu.pl
- Phone: +48 (61) 831-01-22
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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.