Document Type : Original Article
Authors
1
Professor of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
2
Lecturer of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
3
MSc, Anesthesia and Intensive care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
https://doi.org/10.21608/aimj.2025.446662
Abstract
Background: Patients with fractured hips almost always have marked pain that results in increased opioid consumption and unfavorable opioid-induced side effects and motor weakness, especially in elderly patients. To mitigate pain associated with hip procedures, the pericapsular nerve group block (PENG) has been developed as an innovative method designed to enhance analgesia while preserving motor function.
Aim and objectives: To examine the postoperative analgesic effectiveness following hip surgeries utilizing two distinct techniques: Pericapsular Nerve Group Block (PENG) and Suprainguinal Fascia Iliaca Compartment Block (FICB).
Subjects and methods: This randomized double-blind experiment involved 70 participants aged 40 to 65 years, classified as ASA I-II, with hip fractures planned for surgery under general anesthesia. Cases were randomly assigned equally to two groups.
Results: The duration until the initial rescue analgesia was extended in the PENG group (492.84±99.06 minutes) compared to the S-FICB group (438.58±57.45 minutes), and the total opioid requirement was reduced in the PENG group relative to S-FICB (p<0.001). After 20 minutes, the heart rate was considerably lower in the PENG group compared to the FICB group. VAS exhibited a substantial reduction in the PENG group compared to the SFICB group during both rest and movement.
Conclusion: PENG provided superior benefits by extending the duration to initial rescue analgesia, reducing narcotic usage within the first 24 hours post-hip operations, and enhancing quadriceps strength recovery compared to S-FICB.
Keywords
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