{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T11:57:47Z","timestamp":1767873467131,"version":"3.49.0"},"reference-count":19,"publisher":"Termedia Sp. z.o.o.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesiol Intensive Ther"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Spinal anesthesia (SA) is preferred for hip fracture surgery but can be difficult due to severe preoperative pain. This study compared prespinal analgesic techniques for improving the\u00a0ease of\u00a0SA and postoperative analgesia in neck of\u00a0femur fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>In a\u00a0prospective, randomized, double-blind trial, 210 patients aged \u2265 60 years undergoing internal fixation of\u00a0fractured neck of\u00a0femur under SA were allocated to three groups. Group A\u00a0received a\u00a0femoral nerve block (FNB), Group B a\u00a0pericapsular nerve group (PENG) block, and Group C intravenous fentanyl 1 \u00b5g kg\u20131 10 minutes before SA. For FNB and PENG, 20 mL of\u00a00.25% bupivacaine was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The\u00a0PENG group had the\u00a0lowest Ease of\u00a0Spinal Anesthesia (EOSA) score (median 7 [IQR 7\u20138]) vs. FNB 8 (7\u20139) and fentanyl 9 (9\u201310) (P &lt; 0.001). Pain during positioning and puncture was lowest with PENG (P &lt; 0.001). Time to first rescue analgesia was longest with PENG (8.8 \u00b1 2.03 h, 95% CI: 8.3\u20139.3) compared with FNB (5.9 \u00b1 1.5 h, 95% CI: 5.5\u20136.4) and fentanyl (4.2 \u00b1 0.7 h, 95% CI: 4.0\u20134.4) (P &lt; 0.001). Immediate postoperative visual analog scale (VAS) scores at 6 and 12 hours were lower with PENG; differences at 24 hours and 30 days were not significant. Hemodynamics and complication rates were largely similar across groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In hip-fracture patients, ultrasound-guided PENG and FNB improved the\u00a0ease of\u00a0SA and reduced postoperative opioid use, with PENG showing the\u00a0greatest benefit.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5114\/ait\/213925","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T09:30:15Z","timestamp":1767864615000},"page":"381-389","source":"Crossref","is-referenced-by-count":0,"title":["Comparative analysis of\u00a0prespinal analgesic techniques for enhancing spinal anesthesia quality in fractured neck of\u00a0femur: a\u00a0randomized clinical trial"],"prefix":"10.5114","volume":"58","author":[{"given":"Ayman","family":"Eldemrdash","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaher","family":"Zaher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soudi","family":"Hammad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Aly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mostafa","family":"Mohamed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Alazhary","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3061","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"ref-1605218","doi-asserted-by":"publisher","DOI":"10.1186\/s10195-023-00715-5"},{"key":"ref-1605219","doi-asserted-by":"publisher","DOI":"10.3389\/fnagi.2022.1068278"},{"key":"ref-1605220","doi-asserted-by":"publisher","DOI":"10.3390\/jpm13111611"},{"key":"ref-1605221","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2022\/59747.17056"},{"key":"ref-1605222","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000020001"},{"key":"ref-1605223","doi-asserted-by":"crossref","unstructured":"Al-Hassanin AM, Abdelhameed SM, Abdullah AA. Comparative study of\u00a0preoperative ultrasound-guided pericapsular nerve group block and femoral nerve block for analgesia of\u00a0proximal femur fracture fixation under spinal anesthesia. Al-Azhar Intern Med J 2024; 5: 49.","DOI":"10.58675\/2682-339X.2393"},{"key":"ref-1605224","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2024.111936"},{"key":"ref-1605225","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2016.09.014"},{"key":"ref-1605226","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019650"},{"key":"ref-1605227","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeh073"},{"key":"ref-1605228","doi-asserted-by":"crossref","unstructured":"Chen Q, Beal EW, Okunrintemi V, Cerier E, Paredes A, Sun S, et al. The\u00a0association between patient satisfaction and patient-reported health outcomes. J Patient Exp 2019; 6: 201-209. 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