About this trial
Hip fractures are common in older adults and are often associated with severe pain, making it difficult for patients to sit for spinal anesthesia before surgery. Peripheral nerve blocks may improve pain control and facilitate patient positioning, but it remains uncertain whether the Pericapsular Nerve Group (PENG) block provides advantages over the traditional femoral nerve block during the spinal anesthesia procedure.
Eligibility criteria
Qualifiers
Adults aged 50 years or older.
Diagnosis of proximal femoral fracture.
Scheduled to undergo surgical repair under spinal anesthesia.
American Society of Anesthesiologists (ASA) physical status I-III.
Disqualifiers
Refusal to participate or inability to provide informed consent.
Coagulopathy or contraindication to spinal anesthesia or peripheral nerve block.
Local infection at the planned injection site.
Known allergy or hypersensitivity to local anesthetics.
Trial design
Treatments tested in this trial
- Ultrasound-Guided Pericapsular Nerve Group (PENG) Block
- Ultrasound-Guided Femoral Nerve Block
- Spinal Anesthesia (bupivacaine)