Comparative Efficacy of Pericapsular Nerve Group and Suprainguinal Fascia Iliaca Blocks in Elderly Patients Undergoing Surgery for Subtrochanteric Femur Fractures: A Double-blind Randomized Controlled Trial
Haseki Tip Bulteni, cilt.63, sa.2, ss.81-88, 2025 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 63 Sayı: 2
- Basım Tarihi: 2025
- Doi Numarası: 10.4274/haseki.galenos.2025.54264
- Dergi Adı: Haseki Tip Bulteni
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.81-88
- Anahtar Kelimeler: Frail elderly, hip fractures, peripheral nerves, suprainguinal fascia iliaca block, pericapsular nerve group block, pain
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: Peripheral nerve blocks (PNBs) are crucial for reducing opioid use and ensuring pain relief in elderly patients following hip fractures. Our study aimed to compare two recently recommended hip blocks regarding their effectiveness in postoperative analgesia. Methods: This randomized, double-blind study primarily evaluated pain scores [numeric rating scale (NRS); at the 0th, 4th, 8th, 12th, and 24th hours] and total analgesic consumption in elderly patients scheduled for proximal femoral nailing between January 2022 and June 2024. The study involved three groups (n=25): control, pericapsular nerve group block (PENG), and suprainguinal fascia iliaca block (SIFIB) groups, all receiving the same anesthetic management and rescue analgesia plan. Results: The NRS values of the control group were significantly higher than those of Group SIFIB at all hours except the postoperative 8th hour; the value was still higher than that of Group SIFIB (p=0.055). There was no significant difference between the control and PENG groups after the eighth hour postoperatively. The NRS values of the SIFIB group were significantly lower than those of the PENG group at all hours except for the 8th hour postoperatively. Group SIFIB required significantly lower analgesia than Group PENG (p<0.001). Conclusion: This study indicated that SIFIB may be the preferred PNB for elderly patients with femur fractures, providing effective analgesia while minimizing analgesic consumption during the first 24 hours postoperatively.