protocolSection identificationModule nctId: NCT06369948, orgStudyIdInfo id: M703, briefTitle: Quality Of Recovery After Pericapsular Nerve Group (PENG) Block For Hip Hemiarthroplasty Under Spinal Anesthesia, statusModule overallStatus: RECRUITING, startDateStruct date: 2024-03-01, primaryCompletionDateStruct date: 2024-09-01, completionDateStruct date: 2024-09-01, studyFirstPostDateStruct date: 2024-04-17, lastUpdatePostDateStruct date: 2024-04-17, sponsorCollaboratorsModule leadSponsor name: Fayoum University Hospital, class: OTHER, descriptionModule briefSummary: Patients undergoing hip hemiarthroplasty can benefit significantly from regional anesthesia in terms of pain management and recovery . There is a wide range of regional anesthetic techniques. The most common in this anatomical region and those with the greatest published research are fascia iliac block, lumbar plexus block, and femoral nerve block . Alternative methods include lateral femoral cutaneous nerve and selective obturator nerve infiltration blocks. Novel techniques, including local infiltration analgesia and quadratus lumborum block, have been reported.While femoral nerve and lumbar plexus blocks are two common opioid-sparing regional anesthetic procedures that are successful, they come with a risk of undesired lower limb muscle weakness . On the other hand, the fascia iliac block does not always offer sufficient pain relief following hip surgery. The important landmarks targeted on the hip joint branches from the femoral nerve and the auxiliary obturator nerve may now be identified thanks to a recent anatomical study on hip innervation .This led to the discovery of a novel localized anesthetic treatment termed pericapsular nerve group block (PENG), which blocks these nerves to target the hip's anterior capsule. The PENG block has been suggested as a successful motor-sparing block for hip hemiarthroplasty . The objective of the current study is to evaluate the efficacy of the pericapsular nerve group block (PENG) for the reduction of opioid consumption and management of postoperative pain after hip hemiarthroplasty., conditionsModule conditions: Hip Hemiarthroplasty, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, interventionModelDescription: We will include 60 patients who will undergoe elective hip hemiarthroplasty. Patients will be divided into two groups randomized by computer generated random numbers that will be placed in separate opaque envelopes that will be opened by study investigators just before the block.Pericapsular Nerve Group (PENG) Block (P group) includes 30 patients who will receive a PENG block.Control group (C group) includes 30 patients who will not receive a PENG block., primaryPurpose: TREATMENT, maskingInfo masking: QUADRUPLE, maskingDescription: Patients will be divided into two groups randomized by computer generated random numbers that will be placed in separate opaque envelopes that will be opened by study investigators just before the block., whoMasked: PARTICIPANT, whoMasked: CARE_PROVIDER, whoMasked: INVESTIGATOR, whoMasked: OUTCOMES_ASSESSOR, enrollmentInfo count: 60, type: ESTIMATED, armsInterventionsModule interventions name: Pericapsular Nerve Group (PENG) Block, interventions name: elective hip hemiarthroplasty without receiving a PENG block., interventions name: bupivacaine 0.5% injection, outcomesModule primaryOutcomes measure: Total opioid consumption post operative, secondaryOutcomes measure: 2) a Visual Analogue Scale (VAS) ranging from zero (no pain) to 10 (severe pain) for dynamic and static pain, secondaryOutcomes measure: 3) Time to first opioid use, secondaryOutcomes measure: 4) Ability to perform physiotherapy, secondaryOutcomes measure: 5) Opioid-related side effects., secondaryOutcomes measure: 6) Total length stay of hospital, secondaryOutcomes measure: 7) Complications of local anesthetic toxicity, eligibilityModule sex: ALL, minimumAge: 18 Years, maximumAge: 80 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Fayoum University Hospital, status: RECRUITING, city: Madīnat Al Fayyūm, state: Fayoum Governorate, zip: 63514, country: Egypt, contacts name: Atef Mohamed Sayed, MS.C, role: CONTACT, phone: 01003973883, email: amk04@fayoum.edu.eg, geoPoint lat: 29.31667, lon: 30.83333, hasResults: False