Status:

COMPLETED

PENG Block vs Fascia Iliaca Block for Emergency Department Analgesia in Hip Fractures

Lead Sponsor:

Fondazione IRCCS Policlinico San Matteo di Pavia

Collaborating Sponsors:

Colchester General Hospital

Conditions:

Hip Fractures

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Pain management is a crucial aspect of the care of hip fracture patients. Patients with poorly controlled pain have an increased risk of delirium, long-term functional impairment, and remain hospitali...

Eligibility Criteria

Inclusion

  • Age \>18
  • Capacity to understand the aim of the study, the potential benefits and side-effects of the procedures
  • Capacity to provide consent
  • Capacity to provide a self-assessment of pain using the written VAS Scale
  • Confirmed radiological diagnosis of hip fractures (including subcapitate, transcervical, intertrochanteric and perthrocanteric fractures)
  • Moderate or severe worst pain (visual analogue scale, VAS \>40 mm) (at rest or dynamic)

Exclusion

  • Known hypersensitivity to local anaesthetics
  • Confirmed radiological diagnosis of subtrochanteric or diaphyseal femur fractures
  • Hemodynamic instability
  • Known diagnosis of severe cognitive impairment
  • Dementia and/or delirium (defined by a 4AT score ≥ 2)
  • Lack of capacity to provide consent and to understand the aim of the study
  • BMI\>35
  • Body weight \< 40 Kg
  • Prior hip surgery on the same fracture side
  • Mild worst pain (visual analogue scale, VAS \< 40 mm) (at rest or dynamic)

Key Trial Info

Start Date :

July 30 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 16 2024

Estimated Enrollment :

64 Patients enrolled

Trial Details

Trial ID

NCT05370586

Start Date

July 30 2022

End Date

August 16 2024

Last Update

October 1 2024

Active Locations (1)

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Emergency Department, IRCCS San Matteo University Hospital

Pavia, Lombardy, Italy, 27100