Comparison of USG-guided pericapsular nerve group block versus fascia iliaca compartment block for positioning and analgesia before spinal anaesthesia in hip fracture surgeries

Background: Hip fractures are one of the most frequently encountered complaints in both the young and elderly population. USG-guided peripheral nerve blocks help in early surgical fixation by providing perioperative pain relief and early mobilization.Methods: 60 patients of either sex, ASA 1 to 3, aged 18-65, scheduled to undergo surgery for hip fracture, were randomly allocated into two groups. Group P received a USG-guided PENG block, and Group F received an FIC block. Results: In the PENG group, 26(86.7%) patients showed grade 1 positioning, 3(10%) patients showed grade 2, and 1 patient showed grade 3 positioning. In the FICB group,11(36.7%) patients showed grade 1 positioning, 17(56.7%) patients showed grade 2, and 2 patients showed grade 3 positioning. Grade 1 (86.7%) was higher in the PENG group, while grade 2 (56.7%) was higher in the FICB group.Conclusion: PENG block provides better analgesia and better quality of positioning during spinal anaesthesia than FIC block.