A Randomised, Controlled Clinical Study Comparing the Effectiveness of Pericapsular Nerve Group (PENG) Block Vs the Fascia Iliaca Compartment (FICB) for Pain Management After Hip Fracture

Description

Abstract (English)

Abstract
Introduction: Commonly used in hip fracture surgery, fascia iliaca compartment block
(FICB) has lately been criticized for providing insufficient pain relief. The effectiveness of
the innovative pericapsular nerve group block (PENG) technique for hip analgesia is still
being debated. The goals of this research were to examine how effectively PENG blocks
work at relieving hip fracture pain and how they stack up against FICB.
The aim of this study was to determine whether the PENG block is a viable alternative to the
FICB for the treatment of hip fracture pain.
Methods: Following approval from Institutional Ethics Committee (IES-SSMC-0145), a
prospective, randomized, comparative study was conducted at Shyam shah medical college
rewa between 2020 and 2023. Group A (n=25) underwent FICB, and Group B (n=25)
received PENG block, of patients who had suffered a hip fracture.
Results: The two groups' VAS scores before the block procedure did not vary significantly
from one another (p=0.23). The VAS score was considerably lower in the PENG block group
compared to the FICB group after 15 minutes of blocks and after 12 hours post-surgery
(p=0.035 and p=0.024, respectively). The PENG block had a substantially longer first-time
analgesic consumption compared to the FCIB (p=0.006). The overall amount of morphine
consumed over the course of 24 hours was considerably lower in the PENG block compared
to the FICB group (p=0.007).
Conclusion: We conclude that the PENG block is superior to FICB for analgesia of hip
fractures. However, further research with bigger sample numbers is needed to confirm the
PENG blocks' effectiveness and superiority over standard methods