A retrospective case series of PENG block combined with femoral & lateral cutaneous nerves block as novel regional anesthesia approach for hemiarthroplasty & dynamic hip screw (DHS)

Abstract

Hip fracture is a frequent trauma particularly common in elderly patients, associated with a high risk of morbidity and mortality. The innervation of the hip joint is complex, and it is challenging for the anesthesiologists to provide effective anesthesia, even analgesia. The pericapsular PENG block is a promising block aiming to block articular sensory branches of anterior capsule supplied by femoral, obturator, and accessory obturator nerves. In this case series, The PENG block combined with femoral, and lateral femoral nerves block was successfully used as regional anesthesia technique with sedation for hemiarthroplasty and dynamic hip screw surgeries. The ultrasound-guided Novel regional anesthesia approach is described, and post-operative pain scores and opioid requirements are monitored till 48 h post-operative.