Comparison of pericapsular nerve group block alone versus combined with suprainguinal fascia ilica compartment block for postoperative analgesia and quality of recovery in older adult patients with hip fractures: A retrospective study

Abstract

Previous studies have demonstrated the effectiveness of the pericapsular nerve group (PENG) block and suprainguinal fascia ilica compartment block (SIFCB) in providing postoperative pain relief. This retrospective study aimed to compare the analgesic contribution and quality of recovery of SIFCB added to PENG block for hip surgery in elderly patients. This retrospective study analyzed data from patients over the age of 65 who underwent hip surgery between January 2023 and September 2023. The patients included were all American Society of Anesthesiologists (ASA) 2-3, and received a standard perioperative and postoperative analgesia regime. According to the regional anesthesia method applied to the patients, they were grouped as PENG and PENG+SIFCB. The study was conducted on 38 patients. Of these, 20 were in the PENG group, while 18 were in the PENG+SIFCB group. The study evaluated the 48-hour oral opioid consumption and quality of recovery on postoperative day 1 and month 1 in both groups. The results indicated that the average oral opioid consumption was similar in both groups, with the PENG group consuming an average of 26.5 (IQR: 20-30) and the PENG+SIFCB group consuming an average of 20 (IQR: 10-28), respectively (p=0.100). Furthermore, there was no significant difference between the two groups in terms of quality of recovery on postoperative day 1 and month 1 (p=0.271, p=0.936, respectively). The study found that combining SIFCB with PENG block provides similar benefits compared to PENG block alone for postoperative opioid consumption and quality of recovery in multimodal analgesia planning.