Evidence map›Paper›PMID 39574027›Full record

Trial reportBMC anesthesiology2024

The effect of pericapsular nerve group (PENG) block on postoperative analgesia in elderly patients who underwent proximal femoral nail anti-rotation surgery: a prospective, randomized-controlled trial.

Han Wu, Rui-Zhi Yang, Yu Chen, Ting Chen, Liang-Cheng Qiu, Xiao-Dan Wu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Han Wu *Department of Anesthesiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 516, Jinrong South Road, Fuzhou, 350001, Fujian, China.
Rui-Zhi Yang *Department of Anesthesiology, the First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Yu ChenDepartment of Anesthesiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 516, Jinrong South Road, Fuzhou, 350001, Fujian, China.
Ting ChenDepartment of Anesthesiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 516, Jinrong South Road, Fuzhou, 350001, Fujian, China.
Liang-Cheng QiuDepartment of Anesthesiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 516, Jinrong South Road, Fuzhou, 350001, Fujian, China.
Xiao-Dan WuDepartment of Anesthesiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, No. 516, Jinrong South Road, Fuzhou, 350001, Fujian, China. wxiaodan@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs a fascial plane block technique, further exploration is needed to determine the safety and efficacy of a peri-capsular nerve group (PENG) block in elderly patients with intertrochanteric femur fractures. We aimed to evaluate whether opioid consumption during a PENG block is better than a conventional opioid-based program for postoperative pain management after proximal femoral nail anti-rotation (PFNA).

methodsWe conducted a prospective, randomized, controlled trial comparing the efficacy of the PENG block with the control group for elderly patients undergoing primary PFNA under general anesthesia. The primary outcome was the cumulative administration of sufentanil during the first 48 h after surgery.

results110 participants (55 in each group) were included in the analysis. Cumulative Sufentanil consumption between the PENG group and the control group at 48 h was 132.6 ± 12.3 vs. 141.0 ± 15.3, with a difference of -8.4; 95% CI, -13.6 to -3.1, P = 0.002. Sufentanil consumption at 24 h was 78.3 ± 6.1 vs. 94.0 ± 10.2, with a difference of -15.7; 95% CI, -18.9 to -12.5, P < 0.001. There were statistical differences in the visual analogue scale score trajectories between the two groups at 48 h postoperatively (P < 0.001). The median time to first remedial analgesia was lower in the PENG block group than in the control group (P < 0.001). However, there was no difference in the time to first standing.

conclusionIncorporating the PENG block into a multimodal analgesia regimen can decrease opioid consumption among elderly patients undergoing PFNA under general anesthesia.

trial registrationThe study was registered in the Chinese Clinical Trial Registry (ChiCTR2100054290, principal investigator: Xiao-dan, Wu, 13/12/2021).

Indexed as

Analgesics, OpioidNerve BlockPostoperative PainSufentanilAgedAged, 80 and overAnesthesia, GeneralBone NailsFemaleHip FracturesHumansMaleProspective StudiesAnalgesics, OpioidSufentanilOpioid administrationPainPericapsular nerve group blockProximal femoral anti-rotation intramedullary nailRegional analgesia

Identifiers

PMID39574027
PMCPMC11580488

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.