PENG Versus Femoral Nerve Block in Neck of Femur Fracture
A Comparison of Quadriceps Muscle Weakness Associated With PENG Blockade or Femoral Nerve Blockade for Patients Undergoing Neck of Femur (NOF) Fracture Surgery
1 other identifier
interventional
64
1 country
1
Brief Summary
Neck of femur (NOF) fracture is a common presentation to the emergency department, particularly in our older population. NOF fracture is associated with a high social and economic cost with significant effects on patients' quality of life. Analgesia and ambulation are important determinants of outcome following NOF surgery. We propose to compare whether PENG or Femoral Nerve Block is associated with a greater degree of quadriceps motor dysfunction.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2021
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 28, 2021
CompletedFirst Submitted
Initial submission to the registry
August 4, 2021
CompletedFirst Posted
Study publicly available on registry
August 12, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2021
CompletedAugust 12, 2021
August 1, 2021
7 months
August 4, 2021
August 4, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Quadriceps Motor Block
Presence or absence of motor block
20 mins post procedure
Secondary Outcomes (5)
Pain
20 mins post procedure
12 hr Pain
20 mins post procedure
24 hr Pain
20 mins post procedure
Quadriceps Motor block
24 hours post op
cumulative opiate consumption
24 hours post op
Study Arms (2)
PENG
EXPERIMENTALAn ultrasound guided PENG catheter will be inserted. 20ml of 1.5% lidocaine will be administered.
Femoral Block
ACTIVE COMPARATORAn ultrasound guided Femoral Nerve catheter will be inserted. 20ml of 1.5% lidocaine will be administered.
Interventions
Eligibility Criteria
You may qualify if:
- All patients scheduled for operative repair of hip fracture Patient age 16 years or more ASA I - III
You may not qualify if:
- Patient refusal Coagulopathy Local infection Allergy to Local Anaesthetics Significant cognitive impairment (4AT score\>=4) Weight \<60kg
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University College Corklead
- Health Service Executivecollaborator
Study Sites (1)
Cork University Hospital
Cork, Ireland
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- This will be a double blinded study where patients and assessors are blinded to the technique used. The operator performing the block cannot be blinded. It will not be possible to tell from the appearance of the catheter whether it is a femoral nerve catheter or PENG catheter
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Senior Lecturer
Study Record Dates
First Submitted
August 4, 2021
First Posted
August 12, 2021
Study Start
January 28, 2021
Primary Completion
September 1, 2021
Study Completion
December 1, 2021
Last Updated
August 12, 2021
Record last verified: 2021-08