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

Aydın, Muhammed Enes; Borulu, Ferhat; Ateş, İrem; Kara, Serdar; Ahıskalıoğlu, Ali

doi:10.1053/j.jvca.2019.08.006

Cited by 39 publications

(31 citation statements)

References 6 publications

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“…Similarly, the AON passes deep and medial to the psoas muscle at the level of L5. Moreover, weakness due to quadriceps femoris (QF) muscle involvement often impedes mobility in the immediate postoperative period and increases the fall risk [21,34,35].…”

Section: Discussionmentioning

confidence: 99%

Pericapsular nerve group block for analgesia of positioning pain during spinal anesthesia in hip fracture patients, a randomized controlled study

Alrefaey

Abouelela

2020

Egyptian Journal of Anaesthesia

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Section: Discussionmentioning

confidence: 99%

Pericapsular nerve group block for analgesia of positioning pain during spinal anesthesia in hip fracture patients, a randomized controlled study

Alrefaey

Abouelela

2020

Egyptian Journal of Anaesthesia

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“…We read with interest the Letter to the Editor by Aydin et al on the use of pericapsular nerve group (PENG) block for surgical anesthesia for vein ligation and stripping. 1 Recently, there have been several letters to the editor describing the use of PENG block for anesthetic purposes. 2,3 We would like to highlight some points regarding the PENG block technique and indications.…”

Section: Reply To Aydin Et Al: a Novel Indication Of Pericapsular Nementioning

confidence: 99%

“…We read with interest the article by Chanowski and collaborators, published on the pages of this journal, on an opiatesparing approach involving the siting of erector spinae plane catheters to achieve fast-track coronary artery bypass graft surgery with only acetaminophen, gabapentin, and one single dose of 10 mg of oxycodone for postoperative analgesia. 1 Integrating a multimodal pharmacologic approach with regional anesthesia could prove an intelligent solution to the ongoing opioid crisis. Over-reliance on opioids for pain management starts perioperatively and extends post discharge.…”

Section: Pectoralis-intercostal-rectus Sheath (Pirs) Plane Block Withmentioning

confidence: 99%

Reply to Aydin et al.: A Novel Indication of Pericapsular Nerve Group Block: Surgical Anesthesia for Vein Ligation and Stripping

Girón-Arango

Tran

Peng

2020

Journal of Cardiothoracic and Vascular Anesthesia

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“…Although, it is debatable, whether PENG block (Pericapsular nerve block) is pure pericapsular block[ 14 ] or not,[ 15 ] still, there is a scope for newer indications for PENG block. [ 5 6 7 8 9 ] Therefore, it is prudent to explore other approaches that can affect its efficacy, safety, and usefulness. With our results we can conclude that landmark-based technique is a feasible option to give PENG block when ultrasound is not available.…”

Section: Discussionmentioning

confidence: 99%

“…[ 6 7 ] Other than its perioperative use and analgesia for hip surgeries, PENG block has been used for surgical anaesthesia to reduce the dislocated hip and varicose vein striping procedure. [ 8 9 ] There is still a scope to increase its use in other surgical indications. However, use of ultrasound for PENG block is a limiting factor.…”

Section: Introductionmentioning

confidence: 99%

Pericapsular nerve group (PENG) block: A feasibility study of landmark based technique

et al. 2020

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Background: Pericapsular nerve group (PENG) block is a new ultrasound guided nerve block. It was used primarily to relieve pain in hip fracture; now, many new indications have been added. However, dependency on ultrasound guidance for this block limits its use where ultrasound facility is poor or not available. We have suggested a landmark based technique to increase the benefit of this novel nerve block. Aim and Objectives: To do a feasibility study to assess the successful placement of block needle, clinical efficacy of the block and block-related complications. Material and Methods: Total 10 patients (4 males and 6 females) with fracture hip and scheduled for hip surgery under spinal anaesthesia were selected for the study. In 4 patients ultrasound guided PENG block using out-of-plane approach and in 6 patients landmark based nerve stimulator guided block was given with 20ml 0.25% bupivacaine and 8mg dexamethasone. Pain relief before and after 30 minutes of block was assessed by numeric rating scale (NRS) and comfort during spinal position was assessed by ease of spinal position score (EOSP). Results: All 10 patients had successful block; NRS at rest was 6 (6-9) Vs 2 (0-2) and on 15 °limb elevation was 8 (8-10) Vs 3 (2-4). All patients could sit comfortably during spinal anaesthesia and median (range) EOSP sore was 3 (2-3). No complication was observed. Conclusion: Landmark based technique for PENG block is a feasible option and can be used safely where ultrasound facility is not available.

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

Cited by 39 publications

References 6 publications

Pericapsular nerve group block for analgesia of positioning pain during spinal anesthesia in hip fracture patients, a randomized controlled study

Pericapsular nerve group block for analgesia of positioning pain during spinal anesthesia in hip fracture patients, a randomized controlled study

Reply to Aydin et al.: A Novel Indication of Pericapsular Nerve Group Block: Surgical Anesthesia for Vein Ligation and Stripping

Pericapsular nerve group (PENG) block: A feasibility study of landmark based technique

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