Pericapsular Nervous Group Block versus Suprainguinal Fascia Iliaca Block Using the Same Injection Volume in Primary HIP Arthroplasty Prospective Observational Study
Objectives. To determine the pericapsular nerve group (PENG) block’s postoperative analgesic efficacy and safety compared to the suprainguinal fascia iliaca (SFI) block in patients undergoing primary hip arthroplasty using the same injectate volume. Material and Methods. Between January 2021 and Mar...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | International Journal of Clinical Practice |
| Online Access: | http://dx.doi.org/10.1155/2024/6952692 |
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| author | Luis Baeza Álvarez José Manuel López González Gustavo Illodo Miramontes Bárbara María Jiménez Gómez María Vega Colon Alejandra Williams Aguirre Pablo Casas Reza Servando López Álvarez Shu-Wei Liao Bing-Ying Ho Meng-Ta Yang Jin-De Hou Chih-Chung Liu I-Chi Wu Jui-An Lin Felice Galluccio |
| author_facet | Luis Baeza Álvarez José Manuel López González Gustavo Illodo Miramontes Bárbara María Jiménez Gómez María Vega Colon Alejandra Williams Aguirre Pablo Casas Reza Servando López Álvarez Shu-Wei Liao Bing-Ying Ho Meng-Ta Yang Jin-De Hou Chih-Chung Liu I-Chi Wu Jui-An Lin Felice Galluccio |
| author_sort | Luis Baeza Álvarez |
| collection | DOAJ |
| description | Objectives. To determine the pericapsular nerve group (PENG) block’s postoperative analgesic efficacy and safety compared to the suprainguinal fascia iliaca (SFI) block in patients undergoing primary hip arthroplasty using the same injectate volume. Material and Methods. Between January 2021 and March 2022, American Society of Anesthesiologists Physical Status (ASA-PS) classification I–III patients scheduled for hip arthroplasty were included in this study. After standard monitoring and subarachnoid anesthesia, an ultrasound-guided PENG or SFI block with 20 ml of 0.25% levobupivacaine was performed for postoperative analgesia. All patients were assessed with a numerical rating scale (NRS) at presurgery, upon arrival at the postanesthesia care unit (PACU), and in the postoperative period at 2, 4, 12, and 24 hours. The need for analgesic rescue and adverse effects was also assessed. Results. A total of 130 patients were included in the study (62 PENG block and 68 SFI block). Both blocks were equally effective in managing postoperative pain without any statistically significant differences except at 12 h (p=0.023), where the deviation found was not clinically relevant. The median total morphine consumption was 0 mg [0–2] in the PENG block group and 0 mg [0–2] in the SFI block group. A more significant motor block was found in the first 6 hours in the SFI block group (p=0.001). There was no significant difference in the ease of performing PENG (79%) or SFI (85%) blocks. No major complications were recorded in both groups, and patient satisfaction was high (83.9% for the PENG block group vs. 91.2% for the SFI block group). Discussion. Both blocks have been demonstrated to be effective for postoperative analgesia in hip arthroplasty and should be integrated as a multimodal analgesic strategy. The lesser degree of motor block recorded in the first hours with the PENG block makes it the most suitable option for early recovery. Both techniques were easy and safe to perform. |
| format | Article |
| id | doaj-art-31f78e937cbb4b4ba554c468bb3c7bdc |
| institution | Kabale University |
| issn | 1742-1241 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Clinical Practice |
| spelling | doaj-art-31f78e937cbb4b4ba554c468bb3c7bdc2025-08-20T03:55:03ZengWileyInternational Journal of Clinical Practice1742-12412024-01-01202410.1155/2024/6952692Pericapsular Nervous Group Block versus Suprainguinal Fascia Iliaca Block Using the Same Injection Volume in Primary HIP Arthroplasty Prospective Observational StudyLuis Baeza Álvarez0José Manuel López González1Gustavo Illodo Miramontes2Bárbara María Jiménez Gómez3María Vega Colon4Alejandra Williams Aguirre5Pablo Casas Reza6Servando López Álvarez7Shu-Wei Liao8Bing-Ying Ho9Meng-Ta Yang10Jin-De Hou11Chih-Chung Liu12I-Chi Wu13Jui-An Lin14Felice Galluccio15Department of AnesthesiologyDepartment of AnesthesiologyDepartment of AnesthesiologyDepartment of AnesthesiologyDepartment of AnesthesiologyDepartment of AnesthesiologyDepartment of AnesthesiologyDepartment of AnesthesiologyDepartment of AnesthesiologyMolecular Imaging CenterDivision of AnesthesiologyDivision of AnesthesiologyDepartment of AnesthesiologyDivision of Plastic SurgeryDepartment of AnesthesiologyCenter for Regional Anesthesia and Pain MedicineObjectives. To determine the pericapsular nerve group (PENG) block’s postoperative analgesic efficacy and safety compared to the suprainguinal fascia iliaca (SFI) block in patients undergoing primary hip arthroplasty using the same injectate volume. Material and Methods. Between January 2021 and March 2022, American Society of Anesthesiologists Physical Status (ASA-PS) classification I–III patients scheduled for hip arthroplasty were included in this study. After standard monitoring and subarachnoid anesthesia, an ultrasound-guided PENG or SFI block with 20 ml of 0.25% levobupivacaine was performed for postoperative analgesia. All patients were assessed with a numerical rating scale (NRS) at presurgery, upon arrival at the postanesthesia care unit (PACU), and in the postoperative period at 2, 4, 12, and 24 hours. The need for analgesic rescue and adverse effects was also assessed. Results. A total of 130 patients were included in the study (62 PENG block and 68 SFI block). Both blocks were equally effective in managing postoperative pain without any statistically significant differences except at 12 h (p=0.023), where the deviation found was not clinically relevant. The median total morphine consumption was 0 mg [0–2] in the PENG block group and 0 mg [0–2] in the SFI block group. A more significant motor block was found in the first 6 hours in the SFI block group (p=0.001). There was no significant difference in the ease of performing PENG (79%) or SFI (85%) blocks. No major complications were recorded in both groups, and patient satisfaction was high (83.9% for the PENG block group vs. 91.2% for the SFI block group). Discussion. Both blocks have been demonstrated to be effective for postoperative analgesia in hip arthroplasty and should be integrated as a multimodal analgesic strategy. The lesser degree of motor block recorded in the first hours with the PENG block makes it the most suitable option for early recovery. Both techniques were easy and safe to perform.http://dx.doi.org/10.1155/2024/6952692 |
| spellingShingle | Luis Baeza Álvarez José Manuel López González Gustavo Illodo Miramontes Bárbara María Jiménez Gómez María Vega Colon Alejandra Williams Aguirre Pablo Casas Reza Servando López Álvarez Shu-Wei Liao Bing-Ying Ho Meng-Ta Yang Jin-De Hou Chih-Chung Liu I-Chi Wu Jui-An Lin Felice Galluccio Pericapsular Nervous Group Block versus Suprainguinal Fascia Iliaca Block Using the Same Injection Volume in Primary HIP Arthroplasty Prospective Observational Study International Journal of Clinical Practice |
| title | Pericapsular Nervous Group Block versus Suprainguinal Fascia Iliaca Block Using the Same Injection Volume in Primary HIP Arthroplasty Prospective Observational Study |
| title_full | Pericapsular Nervous Group Block versus Suprainguinal Fascia Iliaca Block Using the Same Injection Volume in Primary HIP Arthroplasty Prospective Observational Study |
| title_fullStr | Pericapsular Nervous Group Block versus Suprainguinal Fascia Iliaca Block Using the Same Injection Volume in Primary HIP Arthroplasty Prospective Observational Study |
| title_full_unstemmed | Pericapsular Nervous Group Block versus Suprainguinal Fascia Iliaca Block Using the Same Injection Volume in Primary HIP Arthroplasty Prospective Observational Study |
| title_short | Pericapsular Nervous Group Block versus Suprainguinal Fascia Iliaca Block Using the Same Injection Volume in Primary HIP Arthroplasty Prospective Observational Study |
| title_sort | pericapsular nervous group block versus suprainguinal fascia iliaca block using the same injection volume in primary hip arthroplasty prospective observational study |
| url | http://dx.doi.org/10.1155/2024/6952692 |
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