Pericapsular Nerve Group (PENG) Block in Pediatric Patients Undergoing Hip and Pelvic Surgical Procedures: An...

Area of Science:

• Pediatric Anesthesiology
• Regional Anesthesia
• Pain Management

Background:

• Hip disorders in children present diverse etiologies and challenging postoperative pain management.
• Systemic opioids for pain relief have significant adverse effects.
• Regional anesthesia, particularly peripheral nerve blocks, offers an alternative with a better safety profile.

Purpose of the Study:

• To review the anatomy relevant to the pericapsular nerve group (PENG) block.
• To evaluate the efficacy and safety of the PENG block in pediatric patients.
• To discuss single-shot and continuous catheter techniques for PENG block in children.

Main Methods:

• Review of anatomical structures involved in hip innervation.
• Analysis of published data on PENG block in pediatric populations.
• Comparison of PENG block outcomes with other regional anesthetic techniques.

Main Results:

• The PENG block targets specific nerves innervating the hip capsule.
• Existing reports show variable but promising results for analgesia and safety in children.
• The technique is motor-sparing, preserving motor function.

Conclusions:

• The pericapsular nerve group (PENG) block is a novel regional anesthetic technique for pediatric hip pain.
• It presents a potentially safer and effective alternative to systemic opioids.
• Further research into continuous PENG block techniques may enhance pediatric pain management.