Improved Pain and Perioperative Outcomes After Hip Arthroscopy With the Pericapsular Nerve Group Block

The Addition of a Pericapsular Nerve Group Block for Postoperative Pain Control Does Not Result in Less Narcotic Use After Hip Arthroscopy: A Systematic Review

“…Patients received ropivacaine in 3 studies 10 , 11 , 12 (0.5%, 0.375%, unknown). In one study, 5 patients received either ropivacaine or bupivacaine. In another study, 10 patients underwent general anesthesia with a preoperative PENG block using ropivacaine (2 mg/mL) and an intraoperative pericapsular BKK (i.e., 50-mL bupivacaine, ketamine, ketorolac combination) injection.…”

“…In another study, 13 patients in the control group received either general anesthesia alone or general anesthesia with an intraoperative pericapsular injection of bupivacaine, though this technique was not specified. In 2 studies, 5 , 12 patients in group B received only general anesthesia.…”

“…Despite demonstrating fewer risks as an effective method of analgesia for hip fractures in 2018, the extent to which it improves clinical outcomes compared with other forms of analgesia is still unclear. 5 The purpose of this study was to perform a systematic review of clinical studies evaluating the PENG block in patients undergoing hip arthroscopy. We hypothesized that patients receiving the PENG block would have lower analgesic consumption, decreased time to discharge from the postanesthesia care unit (PACU), and lower pain scores compared to control groups.…”

A Novel Approach to Improving Post-Operative Pain and Minimizing Opioid Consumption After a Hip Arthroscopy

“…PENG block, first described in 2018, was chosen due to its lack of motor impairment and documented efficacy in the anatomic region. [7][8][9][10] The BKK mixture is injected into the pericapsular space after the capsule has been repaired at the end of the procedure [Figure 1]. The PENG blocks were all performed by an anesthesia provider using standard protocol and technique.…”

“…Recently at our institution, there have been two separate protocols introduced: one included a Marcaine pericapsular injection and the other included a pericapsular nerve group (PENG) block with a pericapsular injection of a premixed bupivacaine, ketamine, and ketorolac (BKK) injection. [5][6][7] This study aims to analyze the quality of pain control be-tween these interventions compared to general anesthesia alone. Additional outcomes include time spent in the postanesthesia care unit (PACU), opiate administration in the PACU as well as the rest of their inpatient stay, and amount of outpatient opioids prescribed.…”