دورية أكاديمية
Comparison of the Analgesic Effect of Pericapsular Nerve Group Block and Lumbar Erector Spinae Plane Block in Elective Hip Surgery
| العنوان: | Comparison of the Analgesic Effect of Pericapsular Nerve Group Block and Lumbar Erector Spinae Plane Block in Elective Hip Surgery |
|---|---|
| المؤلفون: | Onur Küçük, Fatih Sağ, Ali Eyrice, Selman Karadayı, Ali Alagöz, Alkin Çolak |
| المصدر: | Medicina, Vol 60, Iss 5, p 799 (2024) |
| بيانات النشر: | MDPI AG, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Medicine (General) |
| مصطلحات موضوعية: | hip, pericapsular nerve group block, lumbar erector spinae plane block, multimodal analgesia, pain postoperative, Medicine (General), R5-920 |
| الوصف: | Background and Objectives: The aim of this study was to compare the effectiveness of pericapsular nerve group (PENG) and lumbar erector spinae plane (L-ESP) blocks, both administered with a high volume (40 mL) of local anesthetic (LA), for multimodal postoperative analgesia in patients undergoing hip surgery. Materials and Methods: This was a prospective, double-blind, randomized study that included 75 adult patients who were divided into three equal groups: control, PENG, and L-ESP. The study compared pain intensity, morphine consumption, time to first morphine request, and postoperative satisfaction between the control group, which received standard multimodal analgesia, and the block groups, which received PENG or L-ESP block in addition to multimodal analgesia. The numerical rating scale (NRS) was used to measure pain intensity. Results: The results showed that the block groups had lower pain intensity scores and morphine consumption, a longer time to the first morphine request, and higher postoperative satisfaction compared to the control group. The median maximum NRS score during the first 12 h was four in the control group, two in the PENG group, and three in the L-ESP group. The control group (21.52 ± 9.63 mg) consumed more morphine than the two block groups (PENG, 11.20 ± 7.55 mg; L-ESP, 12.88 ± 8.87 mg) and requested morphine 6.8 h earlier and 5 h earlier than the PENG and L-ESP groups, respectively. The control group (median 3) had the lowest Likert satisfaction scores, while the PENG group (median 4) had the lowest NRS scores (L-ESP, median 4). Conclusions: The application of PENG or L-ESP blocks with high-volume LA in patients undergoing hip surgery reduces the need for postoperative analgesia and improves the quality of multimodal analgesia. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 60050799 1648-9144 1010-660X |
| Relation: | https://www.mdpi.com/1648-9144/60/5/799; https://doaj.org/toc/1010-660X; https://doaj.org/toc/1648-9144 |
| DOI: | 10.3390/medicina60050799 |
| URL الوصول: | https://doaj.org/article/8fff47084ba94f7780cfd2a2f29c0456 |
| رقم الأكسشن: | edsdoj.8fff47084ba94f7780cfd2a2f29c0456 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 60050799 16489144 1010660X |
|---|---|
| DOI: | 10.3390/medicina60050799 |