Effect of ultrasound-guided pericapsular nerve group (PENG) block on pain during patient positioning for central nervous blockade in hip surgery: a randomized controlled trial

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dc.authoridkurt, cengizhan/0000-0001-6395-5443
dc.authorwosidkurt, cengizhan/ADD-2860-2022
dc.contributor.authorAygun, Hakan
dc.contributor.authorTulgar, Serkan
dc.contributor.authorYigit, Yavuz
dc.contributor.authorTasdemir, Ayse
dc.contributor.authorKurt, Cengizhan
dc.contributor.authorGenc, Caner
dc.contributor.authorBilgin, Sezgin
dc.date.accessioned2024-03-09T18:48:43Z
dc.date.available2024-03-09T18:48:43Z
dc.date.issued2023
dc.departmentİzmir Bakırçay Üniversitesien_US
dc.description.abstractBackground Most patients with hip fractures are elderly patients with comorbidities, and well-managed pain management is associated with positive postoperative outcomes. In recent years, new indications for regional anesthesia techniques have been defined, and they have found more place in clinical practice. Herein we investigate the effect of US-guided PENG block on positioning pain and compare that effect to intravenous opioid in patients undergoing surgery under spinal anesthesia for hip fractures. Additionally, we sought to investigate the effect of PENG block on pain scores, opioid intake, time to first analgesic requirement, and quality of recovery within the first 24 h following surgery. Methods In this study, patients were divided into the PENG (n = 42) and control group (n = 42) one hour prior to surgery. A team who was blinded to the assigned groups, collected and evaluated all data such as spinal anesthesia positioning pain, postoperative pain, opioid requirement. Results Patients that underwent PENG had statistically significantly lower NRS scores after interventions, immediately before positioning, at positioning and at end of spinal anesthesia. Pain scores during positioning for spinal anesthesia were statistically significantly lower in the PENG group than in the control group (p < 0.001). Total morphine use over the first 24 h was extremely statistically significantly lower in the PENG group (p < 0.001). Conclusions Positive outcomes of PENG block in patient positioning pain before spinal anesthesia, postoperative pain scores, and morphine consumption are consistent with similar studies. High patient satisfaction in patients who underwent PENG block contributes to the literature. Trial Registration ClinicalTrials.gov Identifier: NCT04871061en_US
dc.description.sponsorshipOpen Access funding provided by Qatar National Library.; Qatar National Libraryen_US
dc.description.sponsorshipOpen Access funding provided by Qatar National Library.en_US
dc.identifier.doi10.1186/s12871-023-02245-3
dc.identifier.issn1471-2253
dc.identifier.issue1en_US
dc.identifier.pmid37715173en_US
dc.identifier.scopus2-s2.0-85171406608en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1186/s12871-023-02245-3
dc.identifier.urihttps://hdl.handle.net/20.500.14034/1417
dc.identifier.volume23en_US
dc.identifier.wosWOS:001068891700004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBmcen_US
dc.relation.ispartofBmc Anesthesiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHip Fractures; Patient Positioning; Regional Anesthesia; Pain Management; Quality Of Recovery; Orthopedic Anesthesiaen_US
dc.titleEffect of ultrasound-guided pericapsular nerve group (PENG) block on pain during patient positioning for central nervous blockade in hip surgery: a randomized controlled trialen_US
dc.typeArticleen_US

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