Presenter(s) and Chair: Dr. Elliott and Prof. Reed & guest author Dr. Di Pietro / Codes: / Published: 30/06/2026
Summary
Dr. Elliott presents a paper authored by Dr. Di Pietro that compares pain relief with pericapsular nerve block (PENG) against the fascia iliaca block (FIB) in the context of acute hip fractures. The discussion led by Prof Reed includes coverage of the papers outcome measure, summed pain intensity difference (SPID) and the advantages and disadvantages of this outcome. The conversation also includes the analysis used and the external validity of the papers findings.
Key Learning Points
1. Summed pain intensity difference is a validated method of measuring analgesia across multiple time points but can suffer from incomplete data collection
2. Intention-to-treat analysis reflects the real-world performance of an intervention better than a per-protocol analysis
3. Consider the setting in which a study has been conducted and its generalizability to the setting and population where you work
Original Journal Article Title: Comparing the pericapsular nerve group block and fascia iliaca block for acute pain management in patients with hip fracture: a randomised clinical trial
Original Journal Article Reference: https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16695
