Place of ALR in fractures of the upper extremity of the femur

Fractures of the upper end of the femur are a frequent worldwide concern in elderly patients, who are often multi-tarred. In the absence of contraindications, spinal anaesthesia is often the anaesthetic technique of choice, most often in the sitting position, which is a source of intense pain for the patient and may decompensate for an underlying defect. Femoral block and fascia iliaca block are the most commonly used locoregional analgesia techniques, prior to positioning for spinal anesthesia. PENG block is a new analgesic technique described by Giron-Argano in 2018.The aim of this study is to compare the efficacy and safety of ultrasound-guided PENG block versus ultrasound-guided suprainguinal iliaca fascia block for analgesia during positioning for spinal anesthesia.