Key result
Pericapsular nerve group block significantly reduced mean pain scores 10 minutes after administration compared to fascia iliaca block (1.72 vs 3.92, P < 0.001) in patients with femoral neck fractures.
Why the study?
Pelvic fractures cause significant pain, prompting a comparison of pericapsular nerve and fascia iliaca block analgesia for positioning patients with femoral neck fractures for neuraxial anesthesia.
Does pericapsular nerve group block improve analgesia compared to fascia iliaca block in patients with femoral neck fractures for neuraxial anesthesia positioning?
RCT (n=50)
Double-blind
Random allocation software
No
Does pericapsular nerve group block improve analgesia compared to fascia iliaca block in patients with femoral neck fractures for neuraxial anesthesia positioning?
Absolute Event Rate: 1.72% vs 3.92%
p-value: p=<0.001
Pericapsular nerve group block provides superior analgesia compared to fascia iliaca block for positioning patients with femoral neck fractures for neuraxial anesthesia.
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Pericapsular block should be prioritized for femoral neck fracture positioning; confirms RCT superiority over fascia iliaca block.
Karami et al. (2023) conducted an RCT in Femoral neck fracture (n=50). Pericapsular nerve group (PENG) block vs. Fascia iliaca compartment block (FICB) was evaluated on Visual Analogue Scale (VAS) pain score 10 minutes after the block (p=<0.001). Pericapsular nerve group block significantly reduced mean pain scores 10 minutes after administration compared to fascia iliaca block (1.72 vs 3.92, P < 0.001) in patients with femoral neck fractures.
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