Pericapsular nerve group (PENG) block: Comments and practical considerations.

J Clin Anesth

Department of Anesthesia, Toronto Western Hospital, University of Toronto, 399 Bathurst Street, Toronto, Ontario, Canada.

Published: September 2019

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http://dx.doi.org/10.1016/j.jclinane.2019.02.010DOI Listing

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Article Synopsis
  • A study compared the effectiveness of two nerve blocks (PENG and lumbar ESPB) for managing pain in kids undergoing hip surgeries while under spinal anesthesia.
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Objective: We intended to research the efficacy of pericapsular nerve group (PENG) block performed with preoperative ultrasonography (USG) in patients who underwent hip fracture repair under spinal anaesthesia and whether it affects the success of spinal anaesthesia.

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Background: Locoregional anesthesia is commonly used in orthopedic trauma surgery, particularly in elderly patients. We conducted a prospective, monocentric, randomized controlled trial to evaluate the anesthetic and analgesic efficacy of pericapsular nerve group (PENG) block in patients on antithrombotic drugs undergoing hip fracture surgery, comparing it with femoral and obturator nerve block (FNB+ONB).

Methods: Forty patients were randomly allocated to receive a PENG block or FNB and ONB, both combined with wound infiltration (WI).

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