Pericapsular nerve group block for hip surgery

Reza, Pablo Casas; García, P. Diéguez; Vázquez, María Dorinda Mato; Rodríguez, Lucía Sampayo; Álvarez, S. López

doi:10.23736/s0375-9393.20.14166-x

Cited by 13 publications

(6 citation statements)

References 5 publications

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“…Perioperatively, it has been used alone or in combination with general and other regional techniques as an analgesic or anaesthetic technique in open and arthroscopic hip surgery, hip positioning, acetabular fracture, pelvic fractures, surgery of medial thigh, vein ligation and stripping surgery, in the prevention of adductor muscle spasm during TURBT, and during the management of the acute phase of opioid- resistant hip vaso-occlusive crisis (Luftig et al, 2020 ; Shankar et al, 2020 ; Bilal et al, 2020 ; Orozco et al, 2019 ; Acharya & Lamsal, 2020 ; Aydin et al, 2020 ; Wyatt et al, 2020a , b ; Sandri et al, 2020 ; Ayub et al, 2020 ; Ahiskalioglu et al, 2020a ; Ahiskalioglu et al, 2020b ; Prado-Kittel et al, 2020 ; Orozco et al, 2020 ; Alrefaey & Abouelela, 2020 ; Sahoo et al, 2020 ). Its successful use for postoperative analgesia, both with a single injection and continuous infusion, has also been reported (Fusco et al, 2019 ; Aksu et al, 2020a ; Roy et al, 2019 ; Casas Reza et al, 2020 ; Mysore et al, 2020 ; Thallaj, 2019 ). The use of catheters has been suggested to further extend the duration of analgesia, while simultaneously minimizing the needed volume of drug and preventing rebound hyperalgesia (Singh, 2021 ; Wyatt et al, 2020a , b ).…”

Section: Resultsmentioning

confidence: 95%

“…The combination of PENG block and local anaesthetic infiltration (LIA) or PENG and lumbar erector spinae plane (LESP) block for postoperative pain after hip surgery has been used successfully (Ince et al, 2020 ; Fusco et al, 2019 ; Sandri et al, 2020 ; Ince & Kilicaslan, 2020 ). LFCN and PENG block and PENG and QL have also been successfully used in combination in hip surgery (Casas Reza et al, 2020 ; Kukreja et al, 2020a , b ). In fact, the combination of PENG, FIB, and FN block has been reported to provide efficient analgesia while using 0.25% bupivacaine with a total of 70 (20 + 30 + 20) ml (Koyuncu et al, 2019 ).…”

Section: Resultsmentioning

confidence: 99%

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Pericapsular nervegroup (PENG) block—a scoping review

Kaur

Saikia

Dey

et al. 2022

Ain-Shams J Anesthesiol

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The obturator nerve and its accessory branch supplying the hip region, unlike the femoral nerve, are not adequately anaesthetized by conventional regional anaesthetic techniques targeting the hip region. With advancements in ultrasound-guided regional anaesthetic techniques, interests are revived in the field and efforts are being made to block them together. One such successful attempt is the novel peri-capsular nerve group (PENG) block. Consequently, further research on the PENG block began to explore its versatilities. The present study undertakes a scoping review of research on the PENG block in humans for any indication to determine the extent of the research done, the methodologies used, and other practical issues addressed in the research. This will help to identify potential research gaps that should be addressed in the future. PubMed, Google Scholar, Cochrane Library, KoreaMed, Latin American and Caribbean Health Science Literature, and the directory of open access journals were searched with the keyword “PENG block” and “pericapsular nerve group”. Manual search of electronically retrieved papers was also carried out. Among the 67 articles selected in our review, eighteen are case series; twenty-nine are case reports; two are randomized studies; one each of prospective cohort study, review, and cadaveric study; and 15 are editorials. However, only 64 articles were included later due to the retraction of three case reports. Data is insufficient to provide firm recommendations for or against different aspects of the block. The review encourages future work addressing different aspects of the PENG block.

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Section: Resultsmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 99%

Pericapsular nervegroup (PENG) block—a scoping review

Kaur

Saikia

Dey

et al. 2022

Ain-Shams J Anesthesiol

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“…The complete text of the remaining 21 articles was read to determine eligibility. Sixteen additional articles were then excluded due to reasons listed as follows: they were reviews or case reports ( n = 6) [ 14 – 19 ] or retrospective studies ( n = 3) [ 20 – 22 ], or the comparison was with other forms of nerve block, and not FICB ( n = 4) [ 23 – 26 ], or the comparison was with placebo ( n = 3) [ 27 – 29 ]. Finally, five studies [ 10 – 12 , 30 , 31 ] were selected for our meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

The Efficiency of Ultrasound-Guided Pericapsular Nerve Group Block for Pain Management after Hip Surgery: A Meta-analysis

Wang

Wen

2022

Pain Ther

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Introduction Patients with hip surgery often experience moderate to severe postoperative pain, and need large doses of opioids to relieve it, which is not conducive to patient rehabilitation. Pericapsular nerve group (PENG) block is a new regional block technique that is considered to reduce postoperative pain and the use of opioids. The purpose of this study was to evaluate the efficacy and safety of PENG block for postoperative analgesia after hip surgery. Methods We searched multiple databases for randomized controlled trials (RCTs) published in English, which compared PENG block with fascia iliaca compartment block (FICB). The primary outcome was 24 h postsurgical opioid consumption (OC). The secondary outcomes were pain scores (PSs) at different timepoints after surgery and the incidence of postoperative nausea and vomiting (PONV). Results Five RCTs involving 234 patients were selected for our analysis. Our results show that the 24 h OC was drastically lower in PENG block versus FICB patients (SMD −0.60, 95% CI −1.08 to −0.11); P < 0.05, I 2 = 69%). At the same time, there were no significant difference in postsurgical PSs between the two cohorts (6 h: MD −0.07, 95% CI −0.67 to 0.53; P = 0.82, I 2 = 43%; 12 h: MD −0.60, 95% CI −1.40 to 0.19; P = 0.14, I 2 = 31%; 24 h: MD 0.17, 95% CI −0.87 to 1.21; P = 0.75, I 2 = 76%; 36 h: MD 0.80, 95% CI −0.92 to 2.51; P = 0.36, I 2 = 73%; 48 h: MD −0.06, 95% CI −0.75 to 0.63; P = 0.86, I 2 = 0%) and the incidence of PONV (RR 1.00, 95% CI 0.40–2.50, P = 1.00, I 2 = 35%). Conclusions Our research shows that PENG block can reduce the use of opioids after hip surgery and is effective in postoperative analgesia. Future research should explore the injection method, concentration, and dosage.

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“…PENG block has been studied extensively in hip surgeries, 5 but its place in shoulder surgeries is not yet clear. We achieved successful results with 20 cc 0.5% bupivacaine hydrochloride in our patient for whom we requested surgical anesthesia, and 15 cc 0.5% bupivacaine in our patient requiring postoperative analgesia.…”

Section: Discussionmentioning

confidence: 99%