Comparison of Peng Block versus Ficb in Hip Surgeries, A Randomised Control Study

Abstract

Background: Hip surgeries are among the common surgeries performed in orthopaedics especially in geriatric age group. A recent anatomical study on hip innervation led to the identification of relevant landmarks to target the hip articular branches of femoral nerve and accessory obturator nerve making Pericapsular nerve group (PENG) block popular. However there are other commonly performed blocks for hip surgeries including Fascia Iliaca block, 3 in 1 block, Femoral nerve block. This study is aimed at comparing the efficacy of Pericapsular nerve group (PENG) block and Fascia Iliaca Block (FICB) in terms of post operative analgesia. Aims and objectives: To compare the efficacy of post- operative analgesia in Pericapsular nerve group (PENG) block and Fascia Iliaca block in hip surgeries. Material and Methods: Total 90 patients scheduled for hip surgeries under combined spinal epidural anesthesia were selected for the study. In 30 patients ,ultrasound guided PENG block was given, in other 30 ultrasound guided Suprainguinal Fascia Iliaca block was given and other 30 patients were used as control group in the post operative period and duration of analgesia was assessed by numeric rating scale (NRS) and visual analogue scores ( VAS ) Results: In our study of 90 patients posted for hip surgeries, PENG block showed better results in terms of reduction in pain scores, time of first analgesia requirement and quantity of rescue analgesics used in the post operative period. Conclusion: The newer PENG block is better than Fascia Iliaca block in hip surgeries in delaying post opioid consumption, its associated side effects and delirium especially in geriatric patients.