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Analgesic evaluation of ultrasound-guided Pericapsular Nerve Group (PENG) block for emergency hip surgery in fragile patients: a case series
BACKGROUND: Emergency hip surgery is common especially in elderly patients. Very often we are faced with elderly and fragile patients with several comorbidities. In these cases a careful pain control is crucial to reduce length of stay, costs, postoperative complications and mortality. Currently the...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8796512/ https://www.ncbi.nlm.nih.gov/pubmed/35240764 http://dx.doi.org/10.1186/s42836-019-0018-0 |
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author | Pagano, Tommaso Scarpato, Fulvio Chicone, Gianmaria Carbone, Domenico Bussemi, Carlo Blandina Albano, Francesco Ruotolo, Fabio |
author_facet | Pagano, Tommaso Scarpato, Fulvio Chicone, Gianmaria Carbone, Domenico Bussemi, Carlo Blandina Albano, Francesco Ruotolo, Fabio |
author_sort | Pagano, Tommaso |
collection | PubMed |
description | BACKGROUND: Emergency hip surgery is common especially in elderly patients. Very often we are faced with elderly and fragile patients with several comorbidities. In these cases a careful pain control is crucial to reduce length of stay, costs, postoperative complications and mortality. Currently the Fascia Iliaca Block (FIB) and the Femoral Nerve Block (FNB) are the main techniques used for this purpose. CASES PRESENTATION: Recently, a new method has been described under ultrasound-guidance, the Pericapsular Nerve Group (PENG) block. In this case series we try to point out the importance of this novel, safe and effective ultrasound-guided locoregional analgesic technique as an alternative to FIB or FNB based on our clinical experience. CONCLUSION: In this case series the PENG block has been proved to be safe and effective, but more and larger-sized studies are needed to better assess the method in future before it becomes an established analgesic technique for hip surgery. |
format | Online Article Text |
id | pubmed-8796512 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-87965122022-02-03 Analgesic evaluation of ultrasound-guided Pericapsular Nerve Group (PENG) block for emergency hip surgery in fragile patients: a case series Pagano, Tommaso Scarpato, Fulvio Chicone, Gianmaria Carbone, Domenico Bussemi, Carlo Blandina Albano, Francesco Ruotolo, Fabio Arthroplasty Case Report BACKGROUND: Emergency hip surgery is common especially in elderly patients. Very often we are faced with elderly and fragile patients with several comorbidities. In these cases a careful pain control is crucial to reduce length of stay, costs, postoperative complications and mortality. Currently the Fascia Iliaca Block (FIB) and the Femoral Nerve Block (FNB) are the main techniques used for this purpose. CASES PRESENTATION: Recently, a new method has been described under ultrasound-guidance, the Pericapsular Nerve Group (PENG) block. In this case series we try to point out the importance of this novel, safe and effective ultrasound-guided locoregional analgesic technique as an alternative to FIB or FNB based on our clinical experience. CONCLUSION: In this case series the PENG block has been proved to be safe and effective, but more and larger-sized studies are needed to better assess the method in future before it becomes an established analgesic technique for hip surgery. BioMed Central 2019-12-30 /pmc/articles/PMC8796512/ /pubmed/35240764 http://dx.doi.org/10.1186/s42836-019-0018-0 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Pagano, Tommaso Scarpato, Fulvio Chicone, Gianmaria Carbone, Domenico Bussemi, Carlo Blandina Albano, Francesco Ruotolo, Fabio Analgesic evaluation of ultrasound-guided Pericapsular Nerve Group (PENG) block for emergency hip surgery in fragile patients: a case series |
title | Analgesic evaluation of ultrasound-guided Pericapsular Nerve Group (PENG) block for emergency hip surgery in fragile patients: a case series |
title_full | Analgesic evaluation of ultrasound-guided Pericapsular Nerve Group (PENG) block for emergency hip surgery in fragile patients: a case series |
title_fullStr | Analgesic evaluation of ultrasound-guided Pericapsular Nerve Group (PENG) block for emergency hip surgery in fragile patients: a case series |
title_full_unstemmed | Analgesic evaluation of ultrasound-guided Pericapsular Nerve Group (PENG) block for emergency hip surgery in fragile patients: a case series |
title_short | Analgesic evaluation of ultrasound-guided Pericapsular Nerve Group (PENG) block for emergency hip surgery in fragile patients: a case series |
title_sort | analgesic evaluation of ultrasound-guided pericapsular nerve group (peng) block for emergency hip surgery in fragile patients: a case series |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8796512/ https://www.ncbi.nlm.nih.gov/pubmed/35240764 http://dx.doi.org/10.1186/s42836-019-0018-0 |
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