تقرير
أعرض في EDS

Combination of Pericapsular Nerve Group (PENG) and Sacral Erector Spinae Plane (S-ESP) Blocks for Hip Fracture Pain and Surgery: A Case Series.

التفاصيل البيبلوغرافية
العنوان: Combination of Pericapsular Nerve Group (PENG) and Sacral Erector Spinae Plane (S-ESP) Blocks for Hip Fracture Pain and Surgery: A Case Series.
المؤلفون: Marrone F; Anesthesiology, Santo Spirito Hospital, Rome, ITA., Fusco P; Anesthesiology and Intensive Care Unit, San Filippo e Nicola Hospital, Avezzano, ITA., Tulgar S; Anesthesiology, Samsun University Faculty of Medicine, Samsun, TUR., Paventi S; Anesthesiology and Critical Care, Santo Spirito Hospital, Rome, ITA., Tomei M; Anesthesiology and Critical Care, Azienda Sanitaria Locale - Roma 1 (ASL Roma 1), Rome, ITA., Fabbri F; Anesthesiology and Critical Care, Santo Spirito Hospital, Rome, ITA., Iacovazzi M; Anesthesiology and Critical Care, Azienda Sanitaria Locale - Bari (ASL Bari) Ospedale Della Murgia 'Fabio Perinei', Bari, ITA., Pullano C; Anesthesiology, Villa Pia Clinic, Rome, ITA.
المصدر: Cureus [Cureus] 2024 Feb 07; Vol. 16 (2), pp. e53815. Date of Electronic Publication: 2024 Feb 07 (Print Publication: 2024).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: A hip fracture is a serious injury with life-threatening complications, and its risk rises with increasing age. A hip fracture can be a very painful condition, and prompt surgical treatment is recommended to reduce pain and complications. Pain management is considered integral to the management of a broken hip. The choice between general and regional anesthesia in hip fracture surgery continues to be a topic of debate because risks are potentially associated with both approaches. Nerve blockades have proven to be effective in reducing acute pain after a hip fracture and in the perioperative period. For this reason, many regional techniques have been introduced, such as the lumbar plexus block, fascia iliac block, femoral nerve block, and recently, the pericapsular nerve group (PENG) block. Hip joint innervation is complex, not limited to the lumbar plexus but also depending on the sciatic nerve and branches of the sacral plexus (superior and inferior gluteal nerves and an articular branch from the quadratus femoris nerve). We hypothesized that a combination of two emerging regional anesthesia techniques, such as the PENG block and sacral erector spinae plane (S-ESP) block, could represent a good option to obtain pain control of the whole hip joint without opioid administration intraoperatively and postoperatively. Here, we report the cases of three frail patients with significant comorbidities who underwent hip fracture surgery (two cases of intramedullary nailing and one hemiarthroplasty), in which we preoperatively performed PENG and S-ESP blocks. We registered optimal intraoperative and postoperative pain control up to 48 hours after surgery without complications and without opioid administration, allowing the surgery to be performed with intravenous sedation or laryngeal mask general anesthesia. The surgeries were uneventful, and no complications were reported. This approach warrants further investigation in hip fracture surgery.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Marrone et al.)
References: Cureus. 2020 Sep 29;12(9):e10703. (PMID: 33133868)
Sci Rep. 2018 Sep 17;8(1):13933. (PMID: 30224765)
Anesth Analg. 2013 Oct;117(4):1010-1016. (PMID: 24023024)
Anaesth Rep. 2022 Dec 14;10(2):e12199. (PMID: 36530341)
Anesthesiology. 2013 May;118(5):1046-58. (PMID: 23612126)
Anaesth Rep. 2024 Jan 03;12(1):e12269. (PMID: 38187935)
Mayo Clin Proc. 2010 Jan;85(1):18-26. (PMID: 20042557)
Reg Anesth Pain Med. 2022 Mar;47(3):155-160. (PMID: 34873023)
J Clin Anesth. 2020 Aug;63:109754. (PMID: 32120194)
Ann Intern Med. 2011 Aug 16;155(4):234-45. (PMID: 21844549)
Pain Med. 2021 May 21;22(5):1149-1157. (PMID: 33565587)
Am J Surg. 2021 Jul;222(1):198-202. (PMID: 33012502)
J Anesth. 2018 Dec;32(6):908-913. (PMID: 30250982)
Anesth Essays Res. 2014 May-Aug;8(2):156-61. (PMID: 25886219)
Reg Anesth Pain Med. 2023 Aug;48(8):430-432. (PMID: 36977527)
Can J Anaesth. 2023 Dec 14;:. (PMID: 38097816)
Reg Anesth Pain Med. 2018 Nov;43(8):859-863. (PMID: 30063657)
Anesthesiology. 2023 Oct 13;:. (PMID: 37831596)
Reg Anesth Pain Med. 2019 May 6;:. (PMID: 31061111)
Medicine (Baltimore). 2023 Sep 15;102(37):e35168. (PMID: 37713873)
Reg Anesth Pain Med. 2022 Jun 21;:. (PMID: 35728840)
Cureus. 2021 Jan 9;13(1):e12598. (PMID: 33585088)
J Clin Epidemiol. 2017 Sep;89:218-235. (PMID: 28529185)
Anesth Analg. 2023 Mar 1;136(3):597-604. (PMID: 36727847)
BMC Med. 2022 Sep 26;20(1):319. (PMID: 36154933)
Acta Anaesthesiol Scand. 2019 Jan;63(1):101-110. (PMID: 30109702)
Reg Anesth Pain Med. 2019 Aug 8;:. (PMID: 31399540)
J Clin Anesth. 2019 Nov;57:129-130. (PMID: 30999197)
فهرسة مساهمة: Keywords: geriatric hip fracture; local anesthetic adjuvants; pericapsular nerve group block (peng); regional anesthesia; sacral erector spinae plane block
تواريخ الأحداث: Date Created: 20240209 Latest Revision: 20240210
رمز التحديث: 20240210
مُعرف محوري في PubMed: PMC10850927
DOI: 10.7759/cureus.53815
PMID: 38332999
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.53815