Pericapsular Nerve Group (PENG) block for perioperative pain control in hip arthroscopy

Orozco, Sergio; Muñoz, David; Jaramillo, Santiago; Herrera, Ana Milena

doi:10.1016/j.jclinane.2019.04.037

Cited by 37 publications

(30 citation statements)

References 4 publications

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“…PENG block in combination with local anesthetic infiltration, or other nerve blocks such as femoral nerve block or lateral femoral cutaneous nerve block, has been described in nine studies in a total of 32 adult patients and one pediatric patient 9 17–22. These patients underwent hip arthroscopy, hip arthroplasty, hip fracture surgery or removal of osteosynthetic material.…”

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

“…Pericapsular nerve group (PENG) block was reported as the first method that targets the nerves that supply the hip capsule [5]. Subsequently, several studies reported that it was more effective for managing postoperative pain associated with THA than conventional peripheral nerve blocks [6]. However, a single-injection PENG block is only effective for a limited time.…”

Section: Introductionmentioning

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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“…4 A previous dye injection study suggested that 10 to 20 mL of injectate also covers the articular branches of the obturator nerve. 5 This suggests the PENG block targets the 3 nerves that provide sensory innervation to the anterior hip joint capsule, confirming the true "pericapsular" nature of this block. Any motor or sensory block beyond the hip joint capsule would be considered an undesired effect.…”

Section: To the Editormentioning

confidence: 78%

“…3 This block is a new regional anesthesia technique based on blocking the femoral nerve (FN) and accessory obturator nerve (ON) with a single injection. 4,5 In our recent report, we demonstrated effective surgical anesthesia with a PENG block for a medial thigh lesion. 6 In the present report, we define a new indication for PENG block in selected patients.…”

mentioning

confidence: 89%

A Novel Indication of Pericapsular Nerve Group (PENG) Block: Surgical Anesthesia for Vein Ligation and Stripping

Aydın

Borulu

Ateş

et al. 2020

Journal of Cardiothoracic and Vascular Anesthesia

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Pericapsular Nerve Group (PENG) block for perioperative pain control in hip arthroscopy

Cited by 37 publications

References 4 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

A Novel Indication of Pericapsular Nerve Group (PENG) Block: Surgical Anesthesia for Vein Ligation and Stripping

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