Related Experiment Video
Updated: Jun 18, 2025
Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
Published on: January 31, 2025
Comparison of ultrasound-guided erector spinae plane block with ultrasound-guided pericapsular nerve group block for
Tarek A H Mostafa1, Amany F Omara1, Naglaa K Khalil1
1Department of Anesthesiology and Intensive Care, Faculty of Medicine, Tanta University, Tanta, Egypt.
Insights
The erector spinae plane (ESP) block provided longer pain relief after pediatric hip surgery compared to the pericapsular nerve group (PENG) block, reducing the need for rescue analgesia.
Area of Science:
- Anesthesiology
- Pediatric Surgery
- Pain Management
Background:
- Postoperative pain in children undergoing hip surgery is often severe, necessitating multimodal analgesia.
- Regional blocks are crucial for effective pain management in these procedures.
Purpose of the Study:
- To compare the efficacy of ultrasound-guided pericapsular nerve group (PENG) block versus ultrasound-guided erector spinae plane (ESP) block.
- To evaluate pain management strategies following pediatric hip surgery.
Main Methods:
- A randomized study involving 56 children undergoing elective unilateral hip surgery.
- Comparison of ESP and PENG blocks, assessing intraoperative hemodynamics, opioid consumption, pain scores, and time to first rescue analgesia.
Main Results:
- The ESP block group experienced a significantly longer time to first rescue analgesia compared to the PENG block group (P < 0.001).
- Postoperative morphine consumption was significantly higher in the PENG group (P = 0.04).
- Lower pain scores were observed in the ESP group at 2 and 4 hours postoperatively, but higher at 8 hours.
Conclusions:
- Both ESP and PENG blocks are effective for managing pain after pediatric hip surgery.
- The ESP block demonstrated a superior ability to prolong the time to first rescue analgesia compared to the PENG block.
Background And Aims:
Postoperative pain after hip surgeries in children could be classified as severe, requiring combined intra- and postoperative opioid analgesia with regional blocks. This study was carried out to investigate ultrasound-guided pericapsular nerve group (PENG) block versus ultrasound-guided erector spinae plane (ESP) block for pain management after paediatric hip surgery. The primary objective was to assess the time of the first request for morphine rescue analgesia.
Methods:
In this randomised study, 56 children scheduled for elective unilateral hip surgery were distributed randomly to ESP and PENG groups. Intraoperative haemodynamics, fentanyl consumption, postoperative pain measurement, morphine consumption, time of first rescue analgesia, adverse effects and parents' satisfaction score were studied. The primary outcome was the time of the first request for morphine rescue analgesia. The Chi-square test, Student's t-test and the Mann-Whitney U test were used, where applicable, to compare the groups.
Results:
The time to first rescue analgesia was significantly longer in Group ESP than in Group PENG (P < 0.001), with significantly higher postoperative morphine consumption in Group PENG than in Group ESP (P = 0.04). The pain scores of Group ESP were lower than those of Group PENG at 2 and 4 h postoperatively (P = 0.006 and P < 0.001, respectively). At 8 h postoperatively, the score was significantly higher in Group ESP than in Group PENG (P = 0.005). Other outcomes were comparable between both groups (P > 0.05).
Conclusion:
ESP and PENG could be both effective for intraoperative and postoperative analgesia in paediatric hip surgeries, but the ESP block prolonged the time of first rescue analgesia more than the PENG block.
More Related Videos
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
08:03Author Spotlight: Developing Cost-Effective and Durable Ultrasound-Guided 3D-Printed Nerve Block Trainers
Published on: February 9, 2024
Related Concept Videos
01:16Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
One of the advantages of...
01:11Local Anesthetics: Clinical Application as Spinal Anesthesia