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Review
Analgesia and anesthesia using the pericapsular nerve group block in hip surgery and hip fracture: a scoping review
  1. Craig Morrison1,
  2. Brigid Brown1,
  3. D-Yin Lin1,
  4. Ruurd Jaarsma2 and
  5. Hidde Kroon3,4
  1. 1 Anesthesiology, Flinders Medical Centre, Bedford Park, South Australia, Australia
  2. 2 Orthopaedics and Trauma Surgery, Flinders Medical Centre, Bedford Park, South Australia, Australia
  3. 3 Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia
  4. 4 Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia
  1. Correspondence to Dr Craig Morrison, Anesthesiology, Flinders Medical Centre, Bedford Park, SA 5042, Australia; craig.morrison{at}sa.gov.au

Abstract

Introduction Pericapsular nerve group (PENG) block is a novel regional analgesia technique to reduce pain after hip surgery and hip fractures. This review was conducted to summarize current literature.

Methods A scoping review was carried out using the Joanna Briggs Institute framework. All articles describing the use of PENG block as a regional analgesia and/or anesthesia technique for hip pain were considered eligible for inclusion. Ovid Medline, Embase, CINAHL, PubMed and Google Scholar were searched. Adult and pediatric studies were included. Excluded were articles not available in English language, not available in full-text, related to non-orthopedic indications such as soft tissue surgery, and pelvic or femoral shaft fractures.

Results Database searches identified 345 articles, 20 of which could be included in the current review, with a combined patient number of 74. Included articles comprised case reports and case series only, describing 1 to 10 patients. In all studies, PENG block was described to provide sufficient analgesia or anesthesia. Transient motor side effects occurred only when the local anesthetic was deposited in an unintended location (n=2).

Conclusions Current evidence of using PENG block for hip surgery or hip pain is limited to case reports and case series only. PENG block is a promising regional analgesia technique as an alternative to other regional nerve blocks such as femoral nerve block or iliac fascia nerve block. Observational and experimental studies are required to determine the effectiveness, efficacy and safety of the PENG block.

  • nerve block
  • pain management
  • pain
  • postoperative
  • lower extremity

https://doi.org/10.1136/rapm-2020-101826

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    Footnotes

    • Twitter @hiddekroon

    • Contributors CM was responsible for review design, search, reviewing results and manuscript preparation. BB was responsible for review design, search, reviewing results and manuscript editing. D-YL was responsible for review design and manuscript editing. RJ was responsible for manuscript editing. HK was responsible for review oversight and manuscript editing. All authors contributed to the manuscript and all authors approved submission.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data availability statement All data relevant to the study are included in the article or uploaded as supplementary information.