Please confirm that an ethics committee approval has been applied for or granted: Not relevant (see information at the bottom of this page)
Background and Aims Arthroscopic shoulder surgeries are associated with moderate/severe pain. In this case series, shoulder PENG (pericapsular nerve group) and superficial cervical plexus nerve block were applied for postoperative analgesia in arthroscopic shoulder surgery. We aimed to evaluate the contribution of the PENG block to perioperative opioid consumption and the analgesic efficacy postoperatively.
Methods Permission was obtained from all patients to present this case series. After induction of standard general anesthesia in 6 ASA I-II adult patients scheduled for elective arthroscopic shoulder surgery, shoulder PENG (17 ml 0.05% bupivacaine and 3 ml saline were prepared with 15 ml) and superficial cervical plexus block (6 ml 2% lidocaine) was applied (figure 1). Anesthesia was maintained with sevoflurane in an oxygen-air (50-50%) mixture and remifentanil intravenous infusion. The dose of remifentanil was adjusted according to the patient‘s needs, considering the hemodynamic parameters. Multimodal analgesia was administered in the perioperative. Intraoperative remifentanil consumption and numerical pain scores (NRS) at the postoperative 1st, 2nd, and 4th hours of the patients who were extubated at the end of the surgery were recorded.
Results The case series included 6 patients (male/female= 2/4; age= 62±3.9; BMI = 26.4±2.8). The surgical duration times were 170±64.4 minutes. Remifentanil consumption was 23±25.4 μg. NRS scores ranged from 1 to 4 (table 1). No pulmonary complications or motor blocks were observed in the patients.
Conclusions Ultrasonography-guided shoulder PENG block can provide adequate perioperative analgesia as an alternative to peripheral nerve blocks and reduce opioid consumption in arthroscopic shoulder surgeries.
Statistics from Altmetric.com
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.