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PENG Block: Continuous Infusion vs. Programmed Intermittent Bolus in Neck of Femur Fracture

RecruitingNAAges 18 Years - anyAllUniversity College Cork
NCT07046052 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Pericapsular Nerve Group Block (PENG) is an effective regional anaesthesia modality in providing analgesia following neck of femur fracture. Continuous PENG techniques, using indwelling catheters and infusions of local anaesthetic, facilitate the continuation of analgesia for a number of days following hip fracture surgery. It is unclear from the published literature whether an optimal strategy of local anaesthetic delivery has been characterized. Similar doses of local anaesthetic agents can be administered by either continuous infusion or timed intermittent bolus. It is unclear whether one dosing strategy is superior to the other in the context of hip fracture analgesia. The study aims to evaluate the clinical efficacy of both dosing strategies in patients undergoing hip fracture surgery.

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📋 Eligibility rules (as published)
Inclusion Criteria: * English-speaking * over the age of 18 years * hemiarthroplasty for fractured neck of femur * able to provide written consent. Exclusion Criteria: * under 50kg body weight. * unable to provide consent due to incapacity * pregnant women * vulnerable adults under state guardianship * Patients with pre-existing chronic pain disorders or with a history of long-term opioid use * those with contraindications to a peripheral nerve block such as local site infection, allergy to local anaesthetic or those who are coagulopathic
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What it tests

  • continuous infusion of levobupivacaine
  • Programmed Intermittent Bolus of Levobupivacaine
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Where

1 site
Cork University Hospital
Cork, Ireland
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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