Pericapsular nerve group block: an overview.
Minerva Anestesiol
; 87(4): 458-466, 2021 04.
Article
em En
| MEDLINE
| ID: mdl-33432791
ABSTRACT
INTRODUCTION:
The PENG block is a recently described ultrasound-guided technique for the blockade of the sensory nerve branches to the anterior hip joint capsule. It was described as an analgesic block for the acute pain management after hip fracture, while subsequent studies expanded the original indication. The aim of this narrative review was to summarize the existing knowledge about the PENG block from the anatomical bases and to provide an up-to-date description of the technique, applications and effects. EVIDENCE ACQUISITION We reviewed the following medical literature databases for publications on PENG block PubMed, Google Scholar, EMBASE, and Web of science until August 31st, 2020. Data regarding anatomy, indications, drugs and technique were also collected, reported and discussed. EVIDENCESYNTHESIS:
From our search result we selected 57 relevant publications. Among them, 36 were case reports or case series and 12 publication were letters or correspondence; no RCT was identified. The main indication is the hip-related analgesia. The most commonly injected drug is a 20ml long-acting local anesthetic. There are some cases of femoral and obturator nerve block, but no major complication such as hematoma/bleeding or needle-related organ injury has been reported yet.CONCLUSIONS:
The PENG block is a promising technique. Randomized controlled trials of high methodological quality are required to further elaborate the role of this block.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fraturas do Quadril
/
Bloqueio Nervoso
Tipo de estudo:
Clinical_trials
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
Minerva Anestesiol
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Itália