Pericapsular Nerve Group Block: An Excellent Option for Analgesia for Positional Pain in Hip Fractures
Fractures in and around the hip are common presentations in the emergency department. It is commonly seen in the elderly as a result of osteoporotic changes. However, younger age groups are also affected, especially as a result of high velocity trauma. Irrespective of age, hip fractures are extremel...
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| Format: | Article |
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Wiley
2020-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2020/1830136 |
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| _version_ | 1849306169449906176 |
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| author | Utsav Acharya Ritesh Lamsal |
| author_facet | Utsav Acharya Ritesh Lamsal |
| author_sort | Utsav Acharya |
| collection | DOAJ |
| description | Fractures in and around the hip are common presentations in the emergency department. It is commonly seen in the elderly as a result of osteoporotic changes. However, younger age groups are also affected, especially as a result of high velocity trauma. Irrespective of age, hip fractures are extremely painful, and it is difficult to position the patients for anesthesia procedures. Most of these cases are performed under subarachnoid block (SAB) or combined spinal-epidural anesthesia (CSEA), which requires the patient to be in sitting or lateral position. Here, we report a series of ten cases where pericapsular nerve group (PENG) block was administered prior to positioning the patients for SAB or CSEA. This block is a recently described regional anesthesia technique that provides excellent analgesia for hip fractures. It also provides very good analgesia for patient positioning during procedures such as SAB or CSEA. |
| format | Article |
| id | doaj-art-38914e81d34c4361981ed3b7469ee6e2 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-38914e81d34c4361981ed3b7469ee6e22025-08-20T03:55:11ZengWileyCase Reports in Anesthesiology2090-63822090-63902020-01-01202010.1155/2020/18301361830136Pericapsular Nerve Group Block: An Excellent Option for Analgesia for Positional Pain in Hip FracturesUtsav Acharya0Ritesh Lamsal1Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Institute of Medicine, Tribhuvan University, Kathmandu, 44600, NepalDepartment of Anaesthesiology, Tribhuvan University Teaching Hospital, Institute of Medicine, Tribhuvan University, Kathmandu, 44600, NepalFractures in and around the hip are common presentations in the emergency department. It is commonly seen in the elderly as a result of osteoporotic changes. However, younger age groups are also affected, especially as a result of high velocity trauma. Irrespective of age, hip fractures are extremely painful, and it is difficult to position the patients for anesthesia procedures. Most of these cases are performed under subarachnoid block (SAB) or combined spinal-epidural anesthesia (CSEA), which requires the patient to be in sitting or lateral position. Here, we report a series of ten cases where pericapsular nerve group (PENG) block was administered prior to positioning the patients for SAB or CSEA. This block is a recently described regional anesthesia technique that provides excellent analgesia for hip fractures. It also provides very good analgesia for patient positioning during procedures such as SAB or CSEA.http://dx.doi.org/10.1155/2020/1830136 |
| spellingShingle | Utsav Acharya Ritesh Lamsal Pericapsular Nerve Group Block: An Excellent Option for Analgesia for Positional Pain in Hip Fractures Case Reports in Anesthesiology |
| title | Pericapsular Nerve Group Block: An Excellent Option for Analgesia for Positional Pain in Hip Fractures |
| title_full | Pericapsular Nerve Group Block: An Excellent Option for Analgesia for Positional Pain in Hip Fractures |
| title_fullStr | Pericapsular Nerve Group Block: An Excellent Option for Analgesia for Positional Pain in Hip Fractures |
| title_full_unstemmed | Pericapsular Nerve Group Block: An Excellent Option for Analgesia for Positional Pain in Hip Fractures |
| title_short | Pericapsular Nerve Group Block: An Excellent Option for Analgesia for Positional Pain in Hip Fractures |
| title_sort | pericapsular nerve group block an excellent option for analgesia for positional pain in hip fractures |
| url | http://dx.doi.org/10.1155/2020/1830136 |
| work_keys_str_mv | AT utsavacharya pericapsularnervegroupblockanexcellentoptionforanalgesiaforpositionalpaininhipfractures AT riteshlamsal pericapsularnervegroupblockanexcellentoptionforanalgesiaforpositionalpaininhipfractures |