Pericapsular nerve group block: an overview

Buono, Romualdo Del; Padua, Eleonora; Porcellini, Giuseppe; Costa, Fabio; Tognú, Andrea; Terranova, Gaetano; Greco, Federico; Pérez, Mario Fajardo; Barbara, Enrico

doi:10.23736/s0375-9393.20.14798-9

Cited by 49 publications

(52 citation statements)

References 52 publications

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“…The anterior hip capsule contains most sensory fibers and mechanoreceptors. [ 7 ] The anterior capsule of the hip has been innervated by the femoral nerve (FN) and the foramen ovale (ON) branches. The articular branch of the FN provides most of the innervation to the lateral and superomedial aspects of the hip capsule, whereas the branch of the ON innervates the medial portion of the capsule.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Pericapsular Nerve Group (PENG) Block for Analgesic Effect in Elderly Patients with Femoral Neck Fracture Undergoing Hip Arthroplasty

Jiang

et al. 2022

Journal of Healthcare Engineering

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Background. For evaluating pericapsular nerve group (PENG) block’s analgesic effect on elderly patients suffering from femoral neck fracture undergoing hip arthroplasty to provide a basis for optimizing perioperative analgesia in hip arthroplasty. Methods. Forty-eight patients undergoing hip arthroplasty with spinal anesthesia for femoral neck fracture in our hospital were chosen in this study. Based on the random number table method, patients were categorized into the following two groups (n = 24 per group): the hip peripheral nerve group block group (PE group) and the iliac fascia block group (FI group). The fascia iliaca compartment block was used in the FI group, whereas the pericapsular nerve group block in the PE group. When placed in the position for spinal anesthesia (T4), we measured dynamic and static visual analog scale (VAS) scores as well as analgesic satisfaction before blockade (T0), along with at 10 min (T1), 20 min (T2), and 30 min postblockade (T3). Sufentanil dosage and effective analgesic pump press number at 6 h (T5), 12 h (T6), 24 h (T7), and 48 h (T8) postoperatively were recorded. In the meantime, the development of related complications was also recorded. Results. Compared with T0, patients in both groups achieved lower static VAS scores at T1–T4 ( P < 0.05) and lower dynamic VAS scores at T2–T4 of the FI group ( P < 0.05). Relative to the FI group, both static and dynamic VAS scores at T1–T4 were obviously lower in the PE group ( P < 0.05), along with increased dynamic analgesic satisfaction ( P < 0.05). Weakness of the quadriceps was observed in seven patients in the FI groups ( P < 0.05). No delirium, hematoma, puncture site infection, or nerve injury occurred in either group. Conclusion. The pericapsular nerve group block can provide safe and effective analgesia for elderly patients during the perioperative period of hip arthroplasty, with rapid onset, good analgesic effect, high patient satisfaction, and low complication rate, and is worthy of widespread application. The trial is registered with ChiCTR2100046785.

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Section: Introductionmentioning

confidence: 99%

Evaluation of Pericapsular Nerve Group (PENG) Block for Analgesic Effect in Elderly Patients with Femoral Neck Fracture Undergoing Hip Arthroplasty

Jiang

et al. 2022

Journal of Healthcare Engineering

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“…The PENG Block expected to reduce the pain in patient's hip and difficulty in sitting, after PENG block, the patient expected can sit and spinal anesthesia can be performed in a sitting position. 2,6 PENG block (pericapsular nerve group block) is performed using 15 ml of Ropivacaine 0.2%. Pericapsular nerve block (PENG) is an ultrasound-guided regional anesthetic technique that targets the sensitive nerves of the anterior pelvic articular capsule (obturator articular branch, accessory obturator nerve and articular branch 208 of the femoral nerve), thereby limiting the potential for mixed nerve block and weakness of quadriceps femoris and adductor muscles.…”

Section: Discussionmentioning

confidence: 99%

“…Correct needle position can be confirmed by spreading the drug under the iliopsoas muscle. 1,2,6 Figure 1. The left image: before the injection.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, prior to spinal anesthesia, PENG block can be performed as a multimodal analgesia in the patient so that the patient can sit during spinal anesthesia and experience less postoperative pain. 1,2 Spinal anesthesia is anesthesia for surgery below the umbilicus, procedures on the lower extremities, perineum, pelvic girdle, urological, gynecological, obstetric, and lower abdominal and perineal surgery. A local anesthetic is injected directly into the subarachnoid space during spinal anesthesia, the spinal cord has two mechanisms for uptake.…”

Section: Introductionmentioning

confidence: 99%

“…Spinal anesthesia is local anesthetic spread in the subarachnoid space. 2,6 When the procedure is over, the patient assessed using a numeric rating scale (NRS). 5 Motor recovery of the hip joint was assessed using range of motion.…”

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confidence: 99%

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Pericapsular Nerve Group Block (PENG Block) and Spinal Anesthesia as Multimodal Analgetic in Patient with Bipolar Hip Arthroplasty: A Case Report

Fitrisyah

Handrawan

Putri

2022

JACR

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Introduction. Intertrochanteric fractures are defined as extracapsular fractures of the proximal femur that occur between the greater and lesser trochanter. Bipolar hip arthroplasty is one of the most common major orthopaedic procedures to improve patient’s functional status and quality of life. Spinal anesthesia is a regional anesthetic technique that is performed by injecting local anesthetic drugs into the subarachnoid space to obtain dermatome-level analgesia and skeletal muscle relaxation. Pain after hip replacement originates mainly from the anterior pelvic capsule. The main target for pelvic analgesia is the anterior capsule which is the most richly innervated part of the joint. PENG block is used to block the articular branches to the pelvis. The patient was assessed with an NRS (numeric rating scale) instrument pre and post operative. Case presentation. A-74 year old woman admitted with complaints of pain in the right hip and diagnosed with a closed fracture of the right intertrochanter and planned for bipolar hip arthroplasty with PENG block and spinal anesthesia. Preoperatively the patient was assessed with an NRS (numeric rating scale) instrument with a score of 6. After the procedure, we reevaluated the pain score using NRS was 2 post operative. Conclusion. Patients receiving a PENG block and spinal anesthesia for intraoperative and postoperative analgesia during hip fracture surgery. Prior to spinal anesthesia, PENG block can be performed as a multimodal analgesia in the patient, PENG block expected to facilitate a sitting position during spinal anesthesia and for postoperative pain management

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Pericapsular Nerve Group Block Did Not Reduce Postoperative Pain or Opioid Use After Total Hip Arthroplasty

Kinder,

Stambough,

Barnes

et al. 2024

The Journal of Arthroplasty

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Pericapsular nerve group block: an overview

Cited by 49 publications

References 52 publications

Evaluation of Pericapsular Nerve Group (PENG) Block for Analgesic Effect in Elderly Patients with Femoral Neck Fracture Undergoing Hip Arthroplasty

Evaluation of Pericapsular Nerve Group (PENG) Block for Analgesic Effect in Elderly Patients with Femoral Neck Fracture Undergoing Hip Arthroplasty

Pericapsular Nerve Group Block (PENG Block) and Spinal Anesthesia as Multimodal Analgetic in Patient with Bipolar Hip Arthroplasty: A Case Report

Pericapsular Nerve Group Block Did Not Reduce Postoperative Pain or Opioid Use After Total Hip Arthroplasty

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