Comparison of Ease of Spinal Positioning Between Ultrasound-Guided Supra-inguinal Fascia Iliaca Block and Pericapsular Nerve Group Block in Femur Fracture Surgery Patients

What this Trial Is About

The trial investigates the effectiveness of two types of nerve blocks, ultrasound-guided Supra-inguinal Fascia Iliaca Block (S-FICB) and Pericapsular Nerve Group (PENG) Block, in patients with femur fractures. The goal is to compare their immediate and postoperative pain relief during positioning for spinal anesthesia, duration of analgesia, opioid-sparing effects, and associated complications. This is a phase 2 and 3 study that addresses the lack of local data comparing these blocks under ultrasound guidance for improving spinal anesthesia positioning. Participants will be randomly assigned to receive either the S-FICB or PENG block, both performed using 20 mL of 0.5% bupivacaine administered under ultrasound guidance by experienced anesthesiologists. The blocks are done in a sterile environment with detailed ultrasound techniques to guide needle placement and drug delivery. After the nerve block, patients will sit for spinal anesthesia when pain is reduced. Post-surgery, patients will be monitored for pain and given rescue analgesia as needed. Throughout the study, pain levels will be assessed before, during, and after the block using a numeric pain rating scale. Vital signs and safety parameters will be monitored continuously. The primary outcome is the ease of positioning for spinal anesthesia within 20 minutes of block performance. Secondary outcomes include duration of postoperative pain relief and opioid use over 24 hours. The study lasts for the surgery and 24-hour postoperative period, with ongoing pain assessments and rescue medication tracking.

Comparison of EOSP Between Usg Guided S-FICB vs USG Guided PENG Block in Pts Undergoing Femur Fracture Surgery