Can high volume pericapsular nerve group (PENG) block act as a lumbar plexus block?

Ahişkalıoğlu, Ali; Aydın, Muhammed Enes; Çelik, Mine; Ahıskalıoğlu, Elif Oral; Tulgar, Serkan

doi:10.1016/j.jclinane.2019.109650

Cited by 29 publications

(21 citation statements)

References 6 publications

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“…The use of PENG block as a regional analgesia technique without other nerve blocks has been described in 11 studies, in a total of 35 adult patients and one pediatric patient, in a variety of settings including hip relocation, hip fracture analgesia and hip surgery 5 7–16. The included studies reported that PENG block provides analgesia in these settings, with reduced or no need for oral or intravenous opioid analgesia.…”

Section: Resultsmentioning

confidence: 99%

Analgesia and anesthesia using the pericapsular nerve group block in hip surgery and hip fracture: a scoping review

Morrison

Brown

Lin

et al. 2020

Reg Anesth Pain Med

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IntroductionPericapsular nerve group (PENG) block is a novel regional analgesia technique to reduce pain after hip surgery and hip fractures. This review was conducted to summarize current literature.MethodsA scoping review was carried out using the Joanna Briggs Institute framework. All articles describing the use of PENG block as a regional analgesia and/or anesthesia technique for hip pain were considered eligible for inclusion. Ovid Medline, Embase, CINAHL, PubMed and Google Scholar were searched. Adult and pediatric studies were included. Excluded were articles not available in English language, not available in full-text, related to non-orthopedic indications such as soft tissue surgery, and pelvic or femoral shaft fractures.ResultsDatabase searches identified 345 articles, 20 of which could be included in the current review, with a combined patient number of 74. Included articles comprised case reports and case series only, describing 1 to 10 patients. In all studies, PENG block was described to provide sufficient analgesia or anesthesia. Transient motor side effects occurred only when the local anesthetic was deposited in an unintended location (n=2).ConclusionsCurrent evidence of using PENG block for hip surgery or hip pain is limited to case reports and case series only. PENG block is a promising regional analgesia technique as an alternative to other regional nerve blocks such as femoral nerve block or iliac fascia nerve block. Observational and experimental studies are required to determine the effectiveness, efficacy and safety of the PENG block.

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Section: Resultsmentioning

confidence: 99%

Analgesia and anesthesia using the pericapsular nerve group block in hip surgery and hip fracture: a scoping review

Morrison

Brown

Lin

et al. 2020

Reg Anesth Pain Med

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show abstract

“…Furthermore, the combination of SI-FICB with obturator nerve block in hip surgery improved postoperative analgesic effects compared with SI-FICB alone, suggesting that SI-FICB cannot ensure obturator nerve block [13]. On the other hand, the use of 30 mL of a local anesthetic in the PENG block can concurrently block the obturator, femoral, and lateral femoral cutaneous nerves, suggesting the same effects as lumbar plexus block [14]. PENG block can be performed in a supine position and is technically easier and safer than lumbar plexus block.…”

Section: Discussionmentioning

confidence: 99%

Continuous pericapsular nerve group block for postoperative pain management in total hip arthroplasty: report of two cases

et al. 2021

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Background Total hip arthroplasty (THA) is one of the surgical procedures associated with severe postoperative pain. Appropriate postoperative pain management is effective for promoting early ambulation and reducing the length of hospital stay. Effects of conventional pain management strategies, such as femoral nerve block and fascia iliaca block, are inadequate in some cases. Case presentation THA was planned for 2 patients with osteoarthritis. In addition to general anesthesia, continuous pericapsular nerve group (PENG) block and lateral femoral cutaneous nerve (LFCN) block were performed for postoperative pain management. Numerical rating scale (NRS) scores measured at rest and upon movement were low at 2, 12, 24, and 48 h postoperatively, suggesting that the treatments were effective for managing postoperative pain. The Bromage score at postoperative days (POD) 1 and 2 was 0. Conclusion Continuous PENG block and LFCN block were effective for postoperative pain management in patients who underwent THA. PENG block did not cause postoperative motor blockade.

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“…Also, the dye includes the terminal articular branch of the inferomedial side of acetabulum (21). Moreover, several clinical reports have demonstrated the potential of the ON blocks in the case of a high-volume PENG block (22)(23)(24). We believe that 30 mL of our PENG block protocol sufficiently blocks the ON, both cephalad spreading to the proximal main trunk or distal articular branch in the inferomedial acetabulum.…”

Section: Discussionmentioning

confidence: 83%

Comparison of the analgesic efficacy of periarticular infiltration and pericapsular nerve group block for total hip arthroplasty: a randomized, non-inferiority study

Zheng¹,

Jo²,

Hwang³

et al. 2022

Ann Palliat Med

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Can high volume pericapsular nerve group (PENG) block act as a lumbar plexus block?

Cited by 29 publications

References 6 publications

Analgesia and anesthesia using the pericapsular nerve group block in hip surgery and hip fracture: a scoping review

Analgesia and anesthesia using the pericapsular nerve group block in hip surgery and hip fracture: a scoping review

Continuous pericapsular nerve group block for postoperative pain management in total hip arthroplasty: report of two cases

Comparison of the analgesic efficacy of periarticular infiltration and pericapsular nerve group block for total hip arthroplasty: a randomized, non-inferiority study

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