Анестезия и клинические исследования
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The Pericapsular Nerve Group Block for Hip Fracture Surgery: A Prospective Case Report

Brigid Brown, D-Yin Lin, Alex Saies, Marthinus Vermeulen, Hidde M. Kroon, Job Doornberg, Ruurd Jaarsma

Background:The Pericapsular Nerve Group (PENG) block is a regional analgesia technique of the hip. This prospective case series investigated the PENG block in Neck of Femur (NOF) fracture surgery.

Methods: Consecutive patients undergoing surgical repair of neck of femur fractures receiving a PENG block were included. This number was limited due to the few anesthesiologists trained in this novel block (DL, BB, MV). The primary outcome was individual patient pain score reduction. Secondary outcomes were opiate use, patient satisfaction, and perioperative complications.

Outcomes: Twenty eight patients were recruited from October 2019 to April 2020. There was a median reduction of 7 points [range -3 to 10] on an 11-point Verbal Numerical Rating Score (VNRS).

Conclusion: The PENG block provides effective pain relief in NOF surgery, and warrants further investigation by randomised controlled trial.