The pericapsular nerve group block, a highly selective blockage for intracapsular hip fractures: A case series

Hip fracture is a very frequent clinical situation in the elderly and frail patient. The Pericapsular Nerve Group (PENG) has emerged as a highly selective block for the intracapsular hip fractures. We describe 44 patients with intracapsular hip fractures who underwent a PENG block in addition to spi...

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Published inSaudi journal of anaesthesia Vol. 18; no. 2; pp. 305 - 308
Main Authors Ramírez, Carles E, Medina, Noemí G, García, Maria M, Font, Anna P, Sanchez, Juan C M, Esteller, Paula G
Format Journal Article
LanguageEnglish
Published India Medknow Publications and Media Pvt. Ltd 01.04.2024
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer - Medknow
Subjects
Bupivacaine
Care and treatment
Case Report
Fractures
Hip joint
Pain
postoperative
pain
hip fractures
analgesics
local
Anaesthetics
opioids
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Summary:Hip fracture is a very frequent clinical situation in the elderly and frail patient. The Pericapsular Nerve Group (PENG) has emerged as a highly selective block for the intracapsular hip fractures. We describe 44 patients with intracapsular hip fractures who underwent a PENG block in addition to spinal anaesthesia with. The main objective was to assess post-surgical pain control at the recovery room and after 24 h. Also, we considered the need for first of second analgesic rescue during the first 24 h after surgery. Only 10 patients presented mild pain at the recovery room. Up to 30 of them had pain after 24 h. However, 25 of these patients reported having mild pain. Only 9 patients required analgesic rescue for postoperative pain control. In conclusion, PENG block is a locoregional technique that allows good postoperative pain control and low opioid consumption during the postoperative period of intracapsular hip fractures.
ISSN:1658-354X
0975-3125
DOI:10.4103/sja.sja_925_23