Flores CLE, Athié GJM

Language: Spanish
References: 16
Page: 480-484
PDF size: 213.84 Kb.

ABSTRACT

Hip fractures are surgical entities that are mostly present in elderly individuals with frequently challenging comorbidities. Objective: Report our perioperative analgesic experience in the Angeles Mocel Hospital in patients undergoing hip surgery. Material and methods: We present an observational, descriptive, and prospective study in 14 patients in which ECO-guided PENG block was administered with 30 mL, 0.5% ropivacaine. Referred pain was assessed at rest and at active movement 20 minutes and during the first ten hours after block administration. Results: 20 minutes after block administration, resting referred pain diminished 25.6% points (NRS scale) and active movement referred pain diminished 39.58% according to basal pre-block referral. Patient pain remained mild during the subsequent 10 hours. Conclusions: The PENG block is an effective alternative for perioperative pain management in patients undergoing hip fracture surgery with adequate pain inhibition and facilitated movement and early rehabilitation in the first postsurgical hours.

REFERENCES

1. Roy R, Agarwal G, Pradhan C, Kuanar D. Total postoperative analgesia for hip surgeries, PENG block with LFCN block. Reg Anesth Pain Med. 2019; 44(6): 684-690.

2. Doger EP, González LJ, King MAC. Fractura de cadera: un reto multidisciplinario. Reporte de caso de una víctima del sismo del 19 de septiembre de 2017. Rev Fac Med UNAM. 2019; 62(4): 24-29.

3. Hojer Karlsen AP, Geisler A, Petersen PL, Mathiesen O, Dahl JB. Postoperative pain treatment after total hip arthroplasty: a systematic review. Pain. 2015; 156(1): 8-30.

4. Yavuz F, Yasar E, Ali Taskaynatan M, Goktepe AS, Tan AK. Nerve block of articular branches of the obturator and femoral nerves for the treatment of hip joint pain. J Back Musculoskelet Rehabil. 2013; 26(1): 79-83.

5. Girón-Arango L, Peng PWH, Chin KJ, Brull R, Perlas A. Pericapsular nerve group (PENG) block for hip fracture. Reg Anesth Pain Med. 2018; 43(8): 859-863.

6. Zaragoza-Lemus G, Portela-Ortiz JM, Díaz-Guevara G. Bloqueo del grupo de nervios pericapsulares (PENG) para cirugía de cadera. Rev Mex Anest. 2020; 43(1): 69-72.

7. Acharya U, Lamsal R. Pericapsular nerve group block: an excellent option for analgesia for positional pain in hip fractures. Case Rep Anesthesiol. 2020; 2020: 1830136.

8. Pagano T, Scarpato F, Chicone G, Carbone D, Bussemi C, Albano F et al. Analgesic evaluation of ultrasound-guided Pericapsular Nerve Group (PENG) block for emergency hip surgery in fragile patients: a case series. J Arthroplasty. 2019; 1(1): 1-5.

9. Ahiskalioglu A, Aydin ME, Celik M, Ahiskalioglu EO, Tulgar S. Can high volume pericapsular nerve group (PENG) block act as a lumbar plexus block? J Clin Anesth. 2020; 61: 109650.

10. Aksu C, Cesur S, Kus A. Pericapsular nerve group (PENG) block: controversial points about anatomical differences. J Clin Anesth. 2020; 61: 109701.

11. Ueshima H, Otake H. Clinical experiences of pericapsular nerve group (PENG) block for hip surgery. J Clin Anesth. 2018; 51: 60-61.

12. Black ND, Chin KJ. Pericapsular nerve group (PENG) block: Comments and practical considerations. J Clin Anesth. 2019; 56: 143-144.

13. Orozco S, Muñoz D, Jaramillo S, Herrera AM. Pericapsular nerve group (PENG) block for perioperative pain control in hip arthroscopy. J Clin Anesth. 2020; 59: 3-4.

14. Bilal B, Oksuz G, Boran OF, Topak D, Dogar F. High volume pericapsular nerve group (PENG) block for acetabular fracture surgery: a new horizon for novel block. J Clin Anesth. 2020; 62: 109702.

15. Prado-Kittel C, Zumelzu-Sánchez P, Palma-Licandeo A, Faúndez-Lillo G, Ellenberg-Oyarce K, Jorquera-Adarme B. Bloqueo continuo del grupo de nervios pericapsular como analgesia para fractura de columna y pared posterior de acetábulo, reporte de caso y descripción de régimen de infusión para ampliar la cobertura analgésica a la región femoral distal. Rev Esp Anestesiol Reanim. 2020; 67(3): 159-162.

16. Molinelli M, Romero J, Uranga S, Bartolini J, Caputo N, Ariel L et al. Efecto analgésico del bloqueo peng (grupo de nervios pericapsulares) en pacientes con fractura de cadera. Rev Chil Anest. 2020; 49(1): 134-138.