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The Pericapsular Nerve Group (PENG) block combined with Local Infiltration Analgesia (LIA) compared to placebo and LIA in hip arthroplasty surgery: a multi-center double-blinded randomized-controlled trial

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اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • بيانات النشر:
      BMC
    • الموضوع:
      2022
    • Collection:
      The University of Adelaide: Digital Library
    • نبذة مختصرة :
      Background: The PEricapsular Nerve Group (PENG) block is a novel regional analgesia technique that provides improved analgesia in patients undergoing hip surgery while preserving motor function. In this study the PENG block was investigated for analgesia in elective total hip arthroplasty (THA). Methods: In this multi-centre double-blinded randomized-controlled trial, in addition to spinal anesthesia and local infltration analgesia (LIA), THA patients received either a PENG block or a sham block. The primary outcome was pain score (numeric rating scale 0–10) 3 h postoperatively (Day 0). Secondary outcomes were postoperative quadriceps muscle strength, postoperative Day 1 pain scores, opiate use, complications, length of hospital stay, and patientreported outcome measures. Results: Sixty patients were randomized and equally allocated between groups. Baseline demographics were similar. Postoperative Day 0, the PENG group experienced less pain compared to the sham group (PENG: 14 (47%) patients no pain, 14 (47%) mild pain, 2 (6%) moderate/severe pain versus sham: 6 (20%) no pain, 14 (47%) mild pain, 10 (33%) moderate/severe pain; p=0.03). There was no diference in quadriceps muscle strength between groups on Day 0 (PENG: 23 (77%) intact versus sham: 24 (80%) intact; p=0.24) and there were no diferences in other secondary outcomes. Conclusions: Patients receiving a PENG block for analgesia in elective THA experience less postoperative pain on Day 0 with preservation of quadriceps muscle strength. Despite these short-term benefts, no quality of recovery or longer lasting postoperative efects were detected. ; D.-Yin Lin, Brigid Brown, Craig Morrison, Nikolai S. Fraser, Cheryl S. L. Chooi, Matthew G. Cehic, David H. McLeod, Michael D. Henningsen, Nikolina Sladojevic, Hidde M. Kroon, and Ruurd L. Jaarsma
    • File Description:
      application/pdf
    • ISSN:
      1471-2253
    • Relation:
      BMC Anesthesiology, 2022; 22(1):252-1-252-9; https://hdl.handle.net/2440/140158; Kroon, H.M. [0000-0002-8923-7527]
    • الرقم المعرف:
      10.1186/s12871-022-01787-2
    • الدخول الالكتروني :
      https://hdl.handle.net/2440/140158
      https://doi.org/10.1186/s12871-022-01787-2
    • Rights:
      © The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
    • الرقم المعرف:
      edsbas.EAA7A6E0