The pericapsular nerve group block, a highly selective blockage for intracapsular hip fractures: A case series

Hip fracture is a very frequent clinical situation in the elderly and frail patient. The Pericapsular Nerve Group (PENG) has emerged as a highly selective block for the intracapsular hip fractures. We describe 44 patients with intracapsular hip fractures who underwent a PENG block in addition to spi...

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Bibliographic Details
Published in:Saudi journal of anaesthesia 2024-04, Vol.18 (2), p.305-308
Main Authors: Ramírez, Carles E, Medina, Noemí G, García, Maria M, Font, Anna P, Sanchez, Juan C M, Esteller, Paula G
Format: Article
Language:English
Subjects:
Bupivacaine
Care and treatment
Case Report
Fractures
Hip joint
Pain
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Summary:Hip fracture is a very frequent clinical situation in the elderly and frail patient. The Pericapsular Nerve Group (PENG) has emerged as a highly selective block for the intracapsular hip fractures. We describe 44 patients with intracapsular hip fractures who underwent a PENG block in addition to spinal anaesthesia with. The main objective was to assess post-surgical pain control at the recovery room and after 24 h. Also, we considered the need for first of second analgesic rescue during the first 24 h after surgery. Only 10 patients presented mild pain at the recovery room. Up to 30 of them had pain after 24 h. However, 25 of these patients reported having mild pain. Only 9 patients required analgesic rescue for postoperative pain control. In conclusion, PENG block is a locoregional technique that allows good postoperative pain control and low opioid consumption during the postoperative period of intracapsular hip fractures.
ISSN:1658-354X
0975-3125
DOI:10.4103/sja.sja_925_23