Peri-capsular nerve group block provides excellent analgesia in hip fractures and positioning for spinal anaesthesia: A prospective cohort study

Sahoo, Rajendra Kumar; Jadon, Ashok; Sharma, Santosh Kumar; Peng, Philip

doi:10.4103/ija.ija_450_20

Cited by 29 publications

(31 citation statements)

References 11 publications

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“…As far as reduction in the pain score after PENG block is concerned, most of the studies have found a mean reduction of 5–7 in the NRS pain scores. [ 3 4 5 ] We also observed a similar reduction in NRS scores at rest as well as on movement. The reduction of the NRS in the PENG block group was significantly more than the S-FICB.…”

Section: Discussionsupporting

confidence: 68%

“…Both the PENG and FICB techniques provide effective analgesia for patient positioning but the majority of the data from the PENG block are in the form of case series. [ 4 5 14 15 16 ] Similarly, S-FICB is a relatively new approach and comparative data is insufficient to draw any conclusion. The claimed advantage of FICB is that it is considered a 3-in-1 block involving femoral nerve (FN), lateral femoral cutaneous nerve (LFCN) and obturator nerve (ON).…”

Section: Discussionmentioning

confidence: 99%

“…Following the initial description of PENG block, there have been a significant number of publications of case reports and case series highlighting the excellent analgesic benefit for perioperative analgesia in hip surgery. [ 3 4 5 14 15 16 26 27 ] The initially suggested technique was an in-plane technique; however, out-of-plane and landmark-based techniques have also been suggested. [ 28 ] Very few studies comparing PENG block with FICB or similar other regional analgesia techniques have been published in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…[ 2 ] Recently, the pericapsular nerve group (PENG) block has been proposed to provide effective analgesia in hip-fracture patients. [ 3 4 5 ] However, comparative studies between PENG and FICB are lacking. Therefore, we decided to conduct a prospective randomised double-blind study comparing ultrasound-guided supra-inguinal FICB (S-FICB) and PENG block in fractured hip patients.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of supra-inguinal fascia iliaca versus pericapsular nerve block for ease of positioning during spinal anaesthesia

Jadon

Mohsin

Sahoo

et al. 2021

Indian Journal of Anaesthesia

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Background and Aims: Regional analgesic techniques such as supra-inguinal fascia-iliaca compartment block (S-FICB) and pericapsular nerve group (PENG) block have been found to be effective in providing good pain relief in hip-fracture patients. However, comparative studies between PENG and S-FICB are lacking. The aim of this study was to compare the analgesic efficacy of S-FICB and PENG block and assess their efficacy in optimal patient positioning for spinal anaesthesia. Methods: A prospective randomised double-blind study was conducted in 66 patients randomly divided to receive either S-FICB or PENG block under ultrasound guidance. Primary outcome measures were numerical rating scale (NRS) pain score at rest and on passive 15° limb lifting, 30 minutes after the block and ease of spinal positioning. The secondary outcome measures were NRS over 24 hours, amount of tramadol used (number of rescue doses), patients' satisfaction and block-related complications. The results were analysed using statistical software (MedCalc version 19.2.1). Continuous and categorical data were analysed using appropriate statistical analysis and P < 0.05 was considered significant. Results: Post-block, the NRS score decreased significantly in PENG and S-FICB groups at rest and movement ( P < 0.0001). The EOSP score was significantly better in PENG group ( P < 0.0001). First analgesic request and pain relief in the first 24-hour period were similar between the groups ( P = 0.524). Conclusion: PENG block provided better pain relief and ease of positing during SA in patients with fractured hip scheduled for hip surgery.

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of supra-inguinal fascia iliaca versus pericapsular nerve block for ease of positioning during spinal anaesthesia

Jadon

Mohsin

Sahoo

et al. 2021

Indian Journal of Anaesthesia

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“…The original research and other articles in this issue of the IJA are just an example, of how life can continue in the world of research academics even during these difficult COVID times. [ 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ] Over the last 6 months, IJA has received almost 25–30% of the manuscripts on COVID. It is almost near to impossible for the editorial board members to do justice to such a huge deluge of academic material in a short period but still, somehow they are managing the academic load of IJA by taking the time out from their precious family and professional schedules.…”

mentioning

confidence: 99%

Editing from the dungeons of the pandemic; an editor's agonisingly painful battle with COVID-19

Bajwa

2020

Indian J Anaesth

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Pericapsular nerve group block followed by regional anesthesia for pathological fracture fixation in a multiple myeloma patient

Suwal,

Subedi,

Shrestha

et al. 2024

Clinical Case Reports

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Key Clinical MessageAppropriate anesthetic technique for fracture fixation in multiple myeloma is crucial in minimizing perioperative complications. The use of pericapsular nerve group block followed by spinal anesthesia for the operative management of pathological fracture in multiple myeloma patient along with proper pre‐ and postanesthetic care ensures better outcome for the patient.AbstractMultiple myeloma is a malignant plasma cell disease that often presents with anemia, renal failure, hyperkalemia and osteolytic bone lesions. The advancements in drug therapy of multiple myeloma have prolonged the lifespan of the affected people, resulting in a rise in cases of surgical management of fractures in such patients. Anesthetic management, despite being of utmost importance in minimizing perioperative complications in such patients, has not been widely studied, especially in this part of the world. Hence, we report a case of 64 years diabetic, HbSAg positive male with hypothyroidism and a known case of multiple myeloma since the last 6 years, under medication for his comorbidities who suffered acetabular fracture. In this case report, the use of pericapsular nerve group block followed by spinal anesthesia for the operative management of the fracture has been discussed along with several pre‐ and postanesthetic considerations. With appropriate anesthetic techniques and proper pre‐ and postanesthetic care, better outcomes can be guaranteed.

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Peri-capsular nerve group block provides excellent analgesia in hip fractures and positioning for spinal anaesthesia: A prospective cohort study

Cited by 29 publications

References 11 publications

Comparison of supra-inguinal fascia iliaca versus pericapsular nerve block for ease of positioning during spinal anaesthesia

Comparison of supra-inguinal fascia iliaca versus pericapsular nerve block for ease of positioning during spinal anaesthesia

Editing from the dungeons of the pandemic; an editor's agonisingly painful battle with COVID-19

Pericapsular nerve group block followed by regional anesthesia for pathological fracture fixation in a multiple myeloma patient

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