دورية أكاديمية
أعرض في EDS

Pericapsular Nerve Group Block Did Not Reduce Postoperative Pain or Opioid Use After Total Hip Arthroplasty.

التفاصيل البيبلوغرافية
العنوان: Pericapsular Nerve Group Block Did Not Reduce Postoperative Pain or Opioid Use After Total Hip Arthroplasty.
المؤلفون: Kinder KD; Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas., Stambough JB; Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas., Barnes CL; Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas., Porter A; Department of Health Policy & Management, College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas., Mears SC; Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas., Stronach BM; Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
المصدر: The Journal of arthroplasty [J Arthroplasty] 2024 Sep; Vol. 39 (9S1), pp. S112-S116. Date of Electronic Publication: 2024 Jul 15.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Taylor and Francis Country of Publication: United States NLM ID: 8703515 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8406 (Electronic) Linking ISSN: 08835403 NLM ISO Abbreviation: J Arthroplasty Subsets: MEDLINE
أسماء مطبوعة: Publication: New Brunswick, NJ : Taylor and Francis
Original Publication: [New York, NY : Churchill Livingstone, c1986-
مواضيع طبية MeSH: Arthroplasty, Replacement, Hip*/adverse effects , Pain, Postoperative*/etiology , Pain, Postoperative*/prevention & control , Analgesics, Opioid*/administration & dosage , Analgesics, Opioid*/therapeutic use , Nerve Block*/methods, Humans ; Male ; Female ; Retrospective Studies ; Middle Aged ; Aged ; Pain Measurement ; Length of Stay/statistics & numerical data ; Pain Management/methods
مستخلص: Background: The pericapsular nerve group (PENG) block is a newly developed regional anesthesia technique designed to manage postoperative hip pain following a fracture or surgery while also maintaining quadriceps strength and mobility. The goal of our study was to compare postoperative pain scores and opioid usage during the postoperative period before discharge following total hip arthroplasty (THA) using the posterior approach between patients who received a PENG block and those who did not.
Methods: We conducted a retrospective study on patients undergoing elective, posterior approach THA at a single tertiary-care academic center. The 2 groups included a study group (THA with PENG block in 2021; n = 66) and a control group (THA before PENG block implementation in 2019; n = 70).
Results: There were no significant differences in pain scores during postoperative minutes 0 to 59 (study group 6.8; control group 6.6; P = .81) or during postoperative minutes 60 to 119 (study group 6.2; control group 5.6; P = .40). There were no significant differences in total postoperative in-hospital morphine milliequivalent opioid consumption (study group 55.8 morphine milligram equivalents; control group 75.0 morphine milligram equivalents; P = .14). The study group was found to have a shorter length of stay (study group 17.0 hours; control group 32.6 hours; P < .0001) and faster mobilization (study group 3.0 hours; control group 4.9 hours; P < .0001) than the control group.
Conclusions: Our results show that use of the PENG block did not result in lower postoperative pain scores or opioid consumption after THA using the posterior surgical approach. The study group had a shorter length of stay and time to mobilization than the control group, though this was likely due to standard hospital procedure shifting to same-day discharge for THA between 2019 and 2021 due to COVID-19.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
References: Anaesthesia. 2021 Nov;76(11):1492-1498. (PMID: 34196965)
J Surg Orthop Adv. 2018 Fall;27(3):231-236. (PMID: 30489249)
Reg Anesth Pain Med. 2022 Mar;47(3):155-160. (PMID: 34873023)
J Bone Joint Surg Am. 2019 Sep 18;101(18):1670-1678. (PMID: 31567804)
BMC Musculoskelet Disord. 2016 Mar 10;17:122. (PMID: 26965992)
Reg Anesth Pain Med. 2021 Nov;46(11):971-985. (PMID: 34433647)
Reg Anesth Pain Med. 2021 May;46(5):398-403. (PMID: 33637625)
Anesthesiol Clin. 2018 Sep;36(3):403-415. (PMID: 30092937)
J Arthroplasty. 2020 Sep;35(9):2392-2396. (PMID: 32451281)
Eur J Anaesthesiol. 2015 Oct;32(10):725-34. (PMID: 26241763)
J Anesth. 2023 Aug;37(4):503-510. (PMID: 37043081)
J Arthroplasty. 2018 Nov;33(11):3379-3382.e1. (PMID: 30075877)
Minerva Anestesiol. 2021 Jun;87(6):627-629. (PMID: 34114777)
J Arthroplasty. 2023 Jun;38(6):1096-1103. (PMID: 36529195)
J Anesth. 2020 Jun;34(3):472-475. (PMID: 32232662)
Minerva Anestesiol. 2021 Apr;87(4):458-466. (PMID: 33432791)
Reg Anesth Pain Med. 2018 Nov;43(8):859-863. (PMID: 30063657)
Lancet. 2018 Nov 3;392(10158):1662-1671. (PMID: 30496081)
معلومات مُعتمدة: P20 GM125503 United States GM NIGMS NIH HHS
فهرسة مساهمة: Keywords: mobilization; opioid consumption; pericapsular nerve group block; postoperative pain; total hip arthroplasty
المشرفين على المادة: 0 (Analgesics, Opioid)
تواريخ الأحداث: Date Created: 20240717 Date Completed: 20240817 Latest Revision: 20240823
رمز التحديث: 20240823
مُعرف محوري في PubMed: PMC11339861
DOI: 10.1016/j.arth.2024.06.043
PMID: 39019412
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-8406
DOI:10.1016/j.arth.2024.06.043