Pericapsular Nerve Group (PENG) Block for Pediatric Hip Surgery: A Report of Three Cases

Pain control for pediatric patients undergoing hip surgery can be challenging. These patients are often medically and/or surgically complex and may have numerous comorbidities. Using a multimodal strategy to ensure adequate analgesia for these patients should include regional techniques when possible. However, historical techniques for regional analgesia may be contraindicated in medically complex children, provide inadequate coverage of the region, or cause undesired weakness. Pericapsular nerve group block is a relatively novel technique, better described in the adult literature, which targets the specific sensory nerves innervating the anterior capsule of the hip. It can be combined with the lateral femoral cutaneous block for cutaneous analgesia of the hip region. In this case report, we demonstrate the feasibility of this combined technique in three pediatric patients who underwent hip surgery.