Effect of ultrasound-guided pericapsular nerve group (PENG) block on pain during patient positioning for central nervous blockade in hip surgery: a randomized controlled trial
Abstract Background Most patients with hip fractures are elderly patients with comorbidities, and well-managed pain management is associated with positive postoperative outcomes. In recent years, new indications for regional anesthesia techniques have been defined, and they have found more place in...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-09-01
|
| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-023-02245-3 |
| _version_ | 1827708755648708608 |
|---|---|
| author | Hakan Aygun Serkan Tulgar Yavuz Yigit Ayşe Tasdemir Cengizhan Kurt Caner Genc Sezgin Bilgin Nimet Senoğlu Ersin Koksal |
| author_facet | Hakan Aygun Serkan Tulgar Yavuz Yigit Ayşe Tasdemir Cengizhan Kurt Caner Genc Sezgin Bilgin Nimet Senoğlu Ersin Koksal |
| author_sort | Hakan Aygun |
| collection | DOAJ |
| description | Abstract Background Most patients with hip fractures are elderly patients with comorbidities, and well-managed pain management is associated with positive postoperative outcomes. In recent years, new indications for regional anesthesia techniques have been defined, and they have found more place in clinical practice. Herein we investigate the effect of US-guided PENG block on positioning pain and compare that effect to intravenous opioid in patients undergoing surgery under spinal anesthesia for hip fractures. Additionally, we sought to investigate the effect of PENG block on pain scores, opioid intake, time to first analgesic requirement, and quality of recovery within the first 24 h following surgery. Methods In this study, patients were divided into the PENG (n = 42) and control group (n = 42) one hour prior to surgery. A team who was blinded to the assigned groups, collected and evaluated all data such as spinal anesthesia positioning pain, postoperative pain, opioid requirement. Results Patients that underwent PENG had statistically significantly lower NRS scores after interventions, immediately before positioning, at positioning and at end of spinal anesthesia. Pain scores during positioning for spinal anesthesia were statistically significantly lower in the PENG group than in the control group (p < 0.001). Total morphine use over the first 24 h was extremely statistically significantly lower in the PENG group (p < 0.001). Conclusions Positive outcomes of PENG block in patient positioning pain before spinal anesthesia, postoperative pain scores, and morphine consumption are consistent with similar studies. High patient satisfaction in patients who underwent PENG block contributes to the literature. Trial Registration ClinicalTrials.gov Identifier: NCT04871061 |
| first_indexed | 2024-03-10T17:10:18Z |
| format | Article |
| id | doaj.art-978f28a60b17453b9cf6ba7582b97b28 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-03-10T17:10:18Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-978f28a60b17453b9cf6ba7582b97b282023-11-20T10:42:11ZengBMCBMC Anesthesiology1471-22532023-09-012311810.1186/s12871-023-02245-3Effect of ultrasound-guided pericapsular nerve group (PENG) block on pain during patient positioning for central nervous blockade in hip surgery: a randomized controlled trialHakan Aygun0Serkan Tulgar1Yavuz Yigit2Ayşe Tasdemir3Cengizhan Kurt4Caner Genc5Sezgin Bilgin6Nimet Senoğlu7Ersin Koksal8Department of Anesthesiology, Bakircay University Faculty of Medicine Cigli Training and Research HospitalDepartment of Anesthesiology, Samsun University Faculty of Medicine, Samsun Training and Research HospitalDepartment of Emergency Medicine, Hamad Medical Corporation, Hamad General HospitalDepartment of Anesthesiology, Bakircay University Faculty of Medicine Cigli Training and Research HospitalDepartment of Orthopedic Surgery, Bakircay University Faculty of Medicine Cigli Training and Research HospitalDepartment of Anesthesiology, Samsun University Faculty of Medicine, Samsun Training and Research HospitalDepartment of Anesthesiology, Ondokuz Mayıs University Faculty of MedicineDepartment of Anesthesiology, Bakircay University Faculty of Medicine Cigli Training and Research HospitalDepartment of Anesthesiology, Samsun University Faculty of Medicine, Samsun Training and Research HospitalAbstract Background Most patients with hip fractures are elderly patients with comorbidities, and well-managed pain management is associated with positive postoperative outcomes. In recent years, new indications for regional anesthesia techniques have been defined, and they have found more place in clinical practice. Herein we investigate the effect of US-guided PENG block on positioning pain and compare that effect to intravenous opioid in patients undergoing surgery under spinal anesthesia for hip fractures. Additionally, we sought to investigate the effect of PENG block on pain scores, opioid intake, time to first analgesic requirement, and quality of recovery within the first 24 h following surgery. Methods In this study, patients were divided into the PENG (n = 42) and control group (n = 42) one hour prior to surgery. A team who was blinded to the assigned groups, collected and evaluated all data such as spinal anesthesia positioning pain, postoperative pain, opioid requirement. Results Patients that underwent PENG had statistically significantly lower NRS scores after interventions, immediately before positioning, at positioning and at end of spinal anesthesia. Pain scores during positioning for spinal anesthesia were statistically significantly lower in the PENG group than in the control group (p < 0.001). Total morphine use over the first 24 h was extremely statistically significantly lower in the PENG group (p < 0.001). Conclusions Positive outcomes of PENG block in patient positioning pain before spinal anesthesia, postoperative pain scores, and morphine consumption are consistent with similar studies. High patient satisfaction in patients who underwent PENG block contributes to the literature. Trial Registration ClinicalTrials.gov Identifier: NCT04871061https://doi.org/10.1186/s12871-023-02245-3Hip fracturesPatient positioningRegional anesthesiaPain managementQuality of recoveryOrthopedic anesthesia |
| spellingShingle | Hakan Aygun Serkan Tulgar Yavuz Yigit Ayşe Tasdemir Cengizhan Kurt Caner Genc Sezgin Bilgin Nimet Senoğlu Ersin Koksal Effect of ultrasound-guided pericapsular nerve group (PENG) block on pain during patient positioning for central nervous blockade in hip surgery: a randomized controlled trial BMC Anesthesiology Hip fractures Patient positioning Regional anesthesia Pain management Quality of recovery Orthopedic anesthesia |
| title | Effect of ultrasound-guided pericapsular nerve group (PENG) block on pain during patient positioning for central nervous blockade in hip surgery: a randomized controlled trial |
| title_full | Effect of ultrasound-guided pericapsular nerve group (PENG) block on pain during patient positioning for central nervous blockade in hip surgery: a randomized controlled trial |
| title_fullStr | Effect of ultrasound-guided pericapsular nerve group (PENG) block on pain during patient positioning for central nervous blockade in hip surgery: a randomized controlled trial |
| title_full_unstemmed | Effect of ultrasound-guided pericapsular nerve group (PENG) block on pain during patient positioning for central nervous blockade in hip surgery: a randomized controlled trial |
| title_short | Effect of ultrasound-guided pericapsular nerve group (PENG) block on pain during patient positioning for central nervous blockade in hip surgery: a randomized controlled trial |
| title_sort | effect of ultrasound guided pericapsular nerve group peng block on pain during patient positioning for central nervous blockade in hip surgery a randomized controlled trial |
| topic | Hip fractures Patient positioning Regional anesthesia Pain management Quality of recovery Orthopedic anesthesia |
| url | https://doi.org/10.1186/s12871-023-02245-3 |
| work_keys_str_mv | AT hakanaygun effectofultrasoundguidedpericapsularnervegrouppengblockonpainduringpatientpositioningforcentralnervousblockadeinhipsurgeryarandomizedcontrolledtrial AT serkantulgar effectofultrasoundguidedpericapsularnervegrouppengblockonpainduringpatientpositioningforcentralnervousblockadeinhipsurgeryarandomizedcontrolledtrial AT yavuzyigit effectofultrasoundguidedpericapsularnervegrouppengblockonpainduringpatientpositioningforcentralnervousblockadeinhipsurgeryarandomizedcontrolledtrial AT aysetasdemir effectofultrasoundguidedpericapsularnervegrouppengblockonpainduringpatientpositioningforcentralnervousblockadeinhipsurgeryarandomizedcontrolledtrial AT cengizhankurt effectofultrasoundguidedpericapsularnervegrouppengblockonpainduringpatientpositioningforcentralnervousblockadeinhipsurgeryarandomizedcontrolledtrial AT canergenc effectofultrasoundguidedpericapsularnervegrouppengblockonpainduringpatientpositioningforcentralnervousblockadeinhipsurgeryarandomizedcontrolledtrial AT sezginbilgin effectofultrasoundguidedpericapsularnervegrouppengblockonpainduringpatientpositioningforcentralnervousblockadeinhipsurgeryarandomizedcontrolledtrial AT nimetsenoglu effectofultrasoundguidedpericapsularnervegrouppengblockonpainduringpatientpositioningforcentralnervousblockadeinhipsurgeryarandomizedcontrolledtrial AT ersinkoksal effectofultrasoundguidedpericapsularnervegrouppengblockonpainduringpatientpositioningforcentralnervousblockadeinhipsurgeryarandomizedcontrolledtrial |