Comparison of pericapsular nerve group block and femoral nerve block for analgesia after hip fracture surgery

Randomized Comparative Study of Ultrasound Guided Pericapsular Nerve Group Block vs Femoral Nerve Block for postoperative analgesia in hip fracture surgery in Department of Anaesthesia, SMS Medical College, Jaipur.

Status

Active, not recruiting

Phases

Phase 1Phase 2

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2023/06/053932

Enrollment

Registered

2023-06-15

Start date

Unknown

Completion date

Unknown

Last updated

2023-06-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: M958- Other specified acquired deformities of musculoskeletal system

Interventions

Intervention1: USG guided PENG block in 40 patients: Patients will receive ultrasound guided Pericapsular Nerve Group Block with 20ml of 0.5% Ropivacaine (13.3mL of 0.75% Ropivacaine + 6.7mL of Normal

Eligibility

Inclusion criteria

Inclusion criteria: Patients undergoing elective surgery for hip fracture, with NRS >7. Patients consenting to participate. Adult patients aged 30-70 Years. Patients belonging to American Society of Anesthesiologists (ASA) grade I, II and III.

Exclusion criteria

Exclusion criteria: Patients with psychiatric illness, anxious, agitated. Patients with peripheral sensorineural deficit. Patients allergic to local anesthetics. Patients with contraindications to regional anaesthesia. o Patients with suspected compartment syndrome in lower limbs. Patients on analgesia within 8 hours before performing nerve block. Block failure cases (If NRS score is not

Design outcomes

Primary

Measure	Time frame
1.To assess and compare pain by NRS at different time intervals in the postoperative period in both the groups. 2.To observe the change in NRS at one minute interval maximum up to 20 minutes after administration of block, until NRS less than 3 for positioning of patient for spinal anaesthesia. 3.To determine the difference in mean time of first rescue analgesia by using NRS and mean dose of analgesic required in 24 hours in both groups. Timepoint: 1.To assess and compare pain by NRS at hourly intervals till 6hrs and two hourly intervals till 24 hrs postoperatively. 2.To observe the change in NRS at one minute interval up to 20 minutes after administration of block, for positioning of patient for spinal anaesthesia. 3.To determine the mean dose of analgesic required in 24 hours in both groups.	—

Measure

Time frame

1.To assess and compare pain by NRS at different time intervals in the postoperative period in both the groups. 2.To observe the change in NRS at one minute interval maximum up to 20 minutes after administration of block, until NRS less than 3 for positioning of patient for spinal anaesthesia. 3.To determine the difference in mean time of first rescue analgesia by using NRS and mean dose of analgesic required in 24 hours in both groups. Timepoint: 1.To assess and compare pain by NRS at hourly intervals till 6hrs and two hourly intervals till 24 hrs postoperatively. 2.To observe the change in NRS at one minute interval up to 20 minutes after administration of block, for positioning of patient for spinal anaesthesia. 3.To determine the mean dose of analgesic required in 24 hours in both groups.

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Secondary

Measure	Time frame
1.To asses quadriceps muscle strength using Oxford muscle strength grading. 2. To determine the change in the haemodynamic parameters (HR, SBP, DBP, MAP & SpO2) in both groups. 3. To assess patient satisfaction. 4. To observe side effect or complication, if any. Timepoint: 1.To asses quadriceps muscle strength using Oxford muscle strength grading at hourly intervals till 6hrs & two hourly intervals till 24 hrs postoperatively. 2.To determine the change in the haemodynamic parameters (HR, SBP, DBP, MAP & SpO2) in both groups at hourly intervals till 6hrs & at two hourly intervals till 24 hrs . 3.To assess patient satisfaction after 24hrs postoperatively. 4.To observe side effect or complication, if any.	—

Measure

Time frame

1.To asses quadriceps muscle strength using Oxford muscle strength grading. 2. To determine the change in the haemodynamic parameters (HR, SBP, DBP, MAP & SpO2) in both groups. 3. To assess patient satisfaction. 4. To observe side effect or complication, if any. Timepoint: 1.To asses quadriceps muscle strength using Oxford muscle strength grading at hourly intervals till 6hrs & two hourly intervals till 24 hrs postoperatively. 2.To determine the change in the haemodynamic parameters (HR, SBP, DBP, MAP & SpO2) in both groups at hourly intervals till 6hrs & at two hourly intervals till 24 hrs . 3.To assess patient satisfaction after 24hrs postoperatively. 4.To observe side effect or complication, if any.

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Countries

India

Contacts

Public ContactDr Darshan N

SMS Medical College

drmamtakhandelwal@gmail.com9929338174

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026