New hip pain block could cut opioid use in ER
NCT ID NCT05673486
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether a PENG nerve block—a targeted injection of anesthetic around the hip—can reduce pain and the need for morphine in adults with hip fractures in the emergency department. 36 patients were randomly assigned to receive either the block plus standard care or standard care alone. The goal was to see if the block provides better pain control and lowers opioid use.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- PENG nerve block (anesthetic injection around hip nerves)
- What this could lead to
- If it works, this could offer a better, faster way to manage hip fracture pain in the ER with less need for strong opioids.
- What could go wrong
- This is a small, early study with only 36 people, so results may not apply to everyone. The evidence for PENG blocks in the ER is still weak.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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36 people
The number who actually took part.
- Started
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Mar 2023
- Finished
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Dec 2023
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Adult patients (≥18 years old) admitted to the emergency department for a hip fracture 2. Pain assessed by VAS/NRS ≥ 3 when the clinical suspicion of hip fracture is confirmed by the emergency physician 3. Patients capable of expressing his/her consent prior to participation in the study 4. Affiliated to or beneficiary of a social security regimen Exclusion Criteria: 1. Patients for who it is impossible to collect the pain assessment scale 2. Patients with known or suspected bleeding disorders : * Personal and family history of bleeding symptoms (spontaneous or induced) * Clinical signs suggesting a haemostasis disorder * Patient on anticoagulant at a curative dose with a very high risk of bleeding (labile International Normalized Ratio (INR), mechanical valve, acute kidney failure and treatment with direct oral anticoagulants) * Inherited bleeding disorder (Hemophilia A, Hemophilia B, Von Willebrand disease, Fibrinogen deficiency, Factor XII deficiency) * Pathologies that may interfere with hemostasis: advanced liver disease, decompensated hematological disease, collagen diseases such as Ehlers-Danlos disease 3. Patients in whom it is impossible to perform the PENG-Block: Body Mass Index (BMI) \> 40, adenopathy or infection at the puncture site, allergy to the anesthetics used 4. Pregnant, parturient or breastfeeding women 5. Patients under judicial protection or judicial safeguard 6. Any other reason which, in the opinion of the investigator, could interfere with the evaluation of the study objectives
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Hyères Hospital
Hyères, Var, 83400, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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