Effect of Preoperative PENG Block on Spinal Anesthesia Positioning and Postoperative Analgesia in… (NCT07194356) | Clinical Trial Compass
CompletedNot Applicable
Effect of Preoperative PENG Block on Spinal Anesthesia Positioning and Postoperative Analgesia in Hip Fracture Surgery
Turkey (Türkiye)60 participantsStarted 2023-12-01
Plain-language summary
Hip fractures are among the most common orthopedic traumas, particularly in elderly patients, and are usually associated with significant pain during positioning for spinal anesthesia. Adequate pain control during positioning can improve patient comfort and facilitate successful administration of anesthesia. The pericapsular nerve group (PENG) block has recently been introduced as a regional anesthesia technique that targets articular branches of the femoral, obturator, and accessory obturator nerves, and has been proposed as a method to reduce pain related to hip fracture positioning.
This study is designed to compare the efficacy of preoperative PENG block versus no block in patients undergoing proximal femoral nailing surgery under spinal anesthesia. The primary objective is to assess its effect on positioning pain using visual analog scale (VAS) scores. Secondary objectives include evaluating its impact on postoperative analgesic consumption, time to first rescue analgesic, and potential side effects.
Who can participate
Age range
18 Years – 90 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Patients aged 18 to 90 years
* ASA (American Society of Anesthesiologists) physical status classification I-III
* Scheduled for proximal femoral nailing due to hip fracture
* Able to provide informed consent (or consent provided by a legal representative)
* Willingness to comply with study procedures and follow-up assessments
Exclusion Criteria:
* \- ASA physical status classification IV or V
* Refusal to provide informed consent
* Coagulopathy or current use of anticoagulant therapy contraindicating neuraxial block
* Local infection at the injection site
* Known allergy or hypersensitivity to local anesthetic agents
* Cognitive impairment or inability to cooperate with study procedures
* Severe psychiatric illness preventing reliable pain assessment
* Previous surgery or deformity of the hip interfering with block performance
* Pregnancy or lactation
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Pain intensity during positioning for spinal anesthesia
Timeframe: During spinal anesthesia positioning (within 15 minutes preoperatively)
Trial details
NCT IDNCT07194356
SponsorDr. Lutfi Kirdar Kartal Training and Research Hospital