Article Text

Download PDFPDF

#34300 Pericapsular nerve group block added to femoral and lateral femoral cutaneous nerve block used for positioning patients with hip fractures for spinal anaesthesia
Free
  1. Tam Al-Ani1 and
  2. Laura Inglis2
  1. 1Anaesthesia, NHS Greater Glasgow and Clyde, Glasgow, UK
  2. 2Medical student, NHS Greater Glasgow and Clyde, Glasgow, UK

Abstract

Please confirm that an ethics committee approval has been applied for or granted: Not relevant (see information at the bottom of this page)

Application for ESRA Abstract Prizes: I apply as an Anesthesiologist (Aged 35 years old or less)

Background and Aims A retrospective evaluation of the analgesic efficacy of two nerve block techniques used in patients with neck of femur fracture before positioning them for spinal anaesthesia. Technique A: pericapsular nerve group (PENG) block, femoral and lateral femoral cutaneous nerve block and technique B: femoral and lateral femoral cutaneous nerve block. Intravenous propofol and alfentanil boluses were used in both techniques as a rescue measure to manage pain during positioning and spinal anaesthesia.

Methods Twenty-nine trauma patients with neck of femur fractures who underwent hemiarthroplasty surgery between Feb 2022- Feb 2023 were included. Retrospective data were collected from anaesthetic charts. Only patients with documented normal cognitive status who underwent spinal anaesthesia on the left lateral position with the fractured side uppermost were included. Both blocks in techniques A and B were performed preoperatively and intended to provide peri and postoperative analgesia. The analgesic efficacy for both techniques was assessed by the number of times rescue intravenous propofol and alfentanil boluses were used to manage pain during positioning and spinal anaesthesia procedure. The z-test statistical test was used to analyse the results.

Results Patients who received Technique A required fewer intravenous propofol and alfentanil blouses during positioning. No intravenous boluses were needed during the spinal anaesthesia procedure, providing better analgesia quality than Technique B with a p-value of 1.13×10 ^(-7).

Abstract #34300 Table 1

Conclusions Adding a PENG block to femoral and lateral femoral cutaneous nerve blocks provided better analgesia for positioning and spinal anaesthesia than femoral and lateral cutaneous nerve blocks alone.

  • PENG block

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.