Key result
Ultrasound-guided PENG block provided comparable analgesia to SIFI block but resulted in significantly less complete motor blockade (0% vs 57.1%, p=0.002) in patients undergoing traumatic hip surgeries.
Why the study?
Severe pain in hip fractures limits ideal positioning for spinal anaesthesia.
Does ultrasound-guided PENG block improve perioperative analgesia and reduce motor blockade compared to SIFI block in patients undergoing traumatic hip surgeries?
Population
30 patients aged 30-90 years undergoing traumatic hip surgeries
Comparison
Ultrasound-guided PENG block vs SIFI block
Design
Prospective, randomized, double-blind study
Authors
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PENG may ease positioning pain in hip fractures; leaves open need for larger trials before practice change.
RCT (n=30)
Double-blind
Computer generated
No
Does ultrasound-guided PENG block improve perioperative analgesia and reduce motor blockade compared to SIFI block in patients undergoing traumatic hip surgeries?
Absolute Event Rate: 0% vs 57.1%
p-value: p=0.002
In traumatic hip surgeries, PENG block provides faster analgesia with a motor-sparing effect, whereas SIFI block provides a longer duration of analgesia.
Bhalerao et al. (2023) conducted an RCT in Traumatic hip surgeries (unilateral hip fracture) (n=30). Ultrasound-guided pericapsular nerve group (PENG) block vs. Suprainguinal fascia iliaca (SIFI) block was evaluated on Incidence of complete motor blockade (Grade 2 quadriceps muscle strength) (p=0.002). Ultrasound-guided PENG block provided comparable analgesia to SIFI block but resulted in significantly less complete motor blockade (0% vs 57.1%, p=0.002) in patients undergoing traumatic hip surgeries.
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