Actively Recruiting
Impact of Anterior Iliopsoas Space Block Versus PENG Block on Ease of Positioning for Spinal Anesthesia in Patients Undergoing Hip Surgeries Randomized Clinical Trial
Led by Benha University · Updated on 2026-03-12
90
Participants Needed
1
Research Sites
4 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are investigating pain management techniques for patients undergoing hip surgeries, focusing on improving the ease of positioning for spinal anesthesia. Hip fractures cause severe pain, and effective pain relief before and after surgery is crucial. This study compares a newer anterior iliopsoas space block technique with the peri-capsular nerve group (PENG) block, aiming to enhance recovery and reduce opioid use by targeting specific nerves involved in hip pain. Participants will receive one of two nerve block methods using bupivacaine 0.20% (25ml). One group will get the PENG block, which targets nerves around the hip capsule, while the other group will receive the anterior iliopsoas space block, a novel approach targeting the lumbosacral trunk beneath the psoas major muscle. Both procedures use ultrasound guidance to deliver the anesthetic precisely. During the study, researchers will assess how easy it is to position patients for spinal anesthesia 30 minutes after the block. They will also measure pain levels at rest and during limb movement at various times up to 24 hours after surgery, track opioid use within 24 hours, and evaluate recovery quality one day post-surgery. The study includes careful monitoring with ultrasound and pain scoring to understand which block better facilitates surgery and recovery.
CONDITIONS
Brief Title
Anterior Iliopsoas Space Block Versus PENG Block on Ease of Positioning for Spinal Anathesia in Patients Undergoing Hip Surgeries
Who Can Participate
Eligibility Criteria
You may qualify if you...
- ASA classes I and II
- Patients of any sex, aged 18 years or older
- Scheduled for hip surgeries (dynamic hip screw fixation or hemiarthroplasty) with fracture not older than 2 weeks
- Persistent pain and planned surgery under spinal anesthesia lasting about 2.5 hours
You will not qualify if you...
- Patient refusal to participate
- Contraindications to spinal anesthesia or peripheral nerve blocks
- History of ischemic heart disease
- Current use of opioids for chronic pain
- Significant cognitive impairment
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - About 2.5 hours
Participants receive either the PENG block or the anterior ilio-psoas space block using bupivacaine to facilitate spinal anesthesia for hip surgery.
1 visit (in-person)
Duration - 24 hours after surgery
Participants are monitored for pain levels and recovery quality after surgery.
Assessments at 30 minutes, 2 hours, 6 hours, 12 hours, and 24 hours post-block or surgery
Trial Site Locations
Total: 1 location
1
Banha Faculity of Medicine
Banhā, Elqalyoubea, Egypt, 13511
Actively Recruiting
Research Team
F
fatma ahmed abdelfatah, MD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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