Article Text
PDF
Abstract
Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submission
Background and Aims The pericapsular nerve group block (PENG) is thought to provide more complete analgesia for the hip surgery. We aimed to evaluate the effect of PENG block on perioperative opioid usage in femur fracture cases monitored with a nociceptive level (NOL) monitoring device.
Methods A total of 62 patients scheduled for surgery for femur fracture were randomized and prospectively divided into 2 equal groups. Patients in Group 1 were administered 20 mL of local anesthetic (10 ml 0.05% Bupivacaine + 10 mL saline). Afterwards, general anesthesia was applied to all patients. Hemodynamic parameters, total remifentanil use, recovery times, NOL value during skin incision and hemodynamic parameters and postoperative NRS values were recorded. Statistically, a p value less than 0.05 was accepted as the significance limit.
Results Although incisional and total opioid consumption was lower in the PENG block group, it was not statistically significant (p=0.203, p=0.718). Recovery time and postoperative pain score were significantly lower in the PENG block group (p<0.001). The systolic blood pressure (SBP) value measured at the time of incision was higher in the control group (p=0.003). Patients in the PENG block group had lower NOL values at the time of incision but not statistically significant (p=0.311).
An ultrasound image of PENG block
How I do it: PENG Block
Conclusions We obtained results showing that application of PENG block to patients undergoing surgery for femur fracture reduces opioid consumption and early postoperative numerical pain scores and shortens recovery time. We think that intraoperative nociception monitoring combined with regional analgesia techniques will reduce opioid consumption, but more studies are needed.