Pericapsular Nerve Group (PENG) block versus fascia iliaca compartment (FI) block for hip surgery: a systematic review and meta-analysis of randomized controlled trials
Braz. J. Anesth. (Impr.)
; 73(6): 794-809, Nov.Dec. 2023. tab, graf
Article
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| ID: biblio-1520384
Biblioteca responsable:
BR891.2
ABSTRACT
Abstract Background:
This study compares Fascia Iliaca compartment (FI) block and Pericapsular Nerve Group (PENG) block for hip surgery.Methods:
Pubmed, Embase and Cochrane were systematically searched in April 2022. Inclusion criteria were Randomized Controlled Trials (RCTs); comparing PENG block versus FI block for hip surgery; patients over 18 years of age; and reporting outcomes immediately postoperative. We excluded studies with overlapped populations and without a head-to-head comparison of the PENG block vs. FI block. Mean-Difference (MD) with 95% Confidence Intervals (CI) were pooled. Trial Sequential Analyses (TSA) were performed to assess inconsistency. Quality assessment and risk of bias were performed according to Cochrane recommendations.Results:
Eight RCTs comprising 384 patients were included, of whom 196 (51%) underwent PENG block. After hip surgery, PENG block reduced static pain score at 12h post-surgery (MD = 0.61 mm; 95% CI 1.12 to -0.09; p = 0.02) and cumulative postoperative oral morphine consumption in the first 24h (MD = -6.93 mg; 95% CI -13.60 to -0.25; p = 0.04) compared with the FI group. However, no differences were found between the two techniques regarding dynamic and static pain scores at 6 h or 24 h post-surgery, or in the time to the first analgesic rescue after surgery.Conclusion:
The findings suggest that PENG block reduced opioid consumption in the first 24 h after surgery and reduced pain scores at rest at 12 h post-surgery. Further research is needed to fully understand the effects of the PENG block and its potential benefits compared to FI block. PROSPERO registration CRD42022339628 PROSPERO registration https//www.crd.york.ac.uk/prospero/display_record.php? RecordID=339628Palabras clave
Texto completo:
1
Índice:
LILACS
Asunto principal:
Nervio Femoral
/
Bloqueo Nervioso
Tipo de estudio:
Systematic_reviews
Límite:
Adolescent
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Adult
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Humans
Idioma:
En
Revista:
Braz. J. Anesth. (Impr.)
Año:
2023
Tipo del documento:
Article