Continuous Pericapsular Nerve Group Block for Hip Surgery: A Case Series

Area of Science:

• Anesthesiology
• Orthopedics
• Pain Management

Background:

• The pericapsular nerve group (PENG) block is an advanced regional anesthesia technique.
• It targets articular branches of the obturator, accessory obturator, and femoral nerves.
• PENG block is primarily utilized for managing hip fracture pain.

Purpose of the Study:

• To evaluate the efficacy of the PENG block in providing pain relief for patients with hip fractures.
• To assess the utility of a continuous catheter technique for prolonged analgesia.

Main Methods:

• The study involved 10 patients with various hip fractures (intertrochanteric, subtrochanteric, neck of femur) undergoing surgery.
• A PENG block was administered to all patients.
• A catheter was inserted in the plane between the iliopsoas muscle and iliopubic eminence for continuous analgesia.

Main Results:

• Successful pain relief was achieved in all 10 patients.
• The continuous catheter provided sustained analgesia during the postoperative period.

Conclusions:

• The pericapsular nerve group (PENG) block is a successful analgesic technique for hip fracture pain.
• The use of an indwelling catheter facilitates extended pain management in the postoperative phase.