PENG Block Research Articles

Pericapsular nerve group block: an overview.

The PENG block is a recently described ultrasound-guided technique for the blockade of the sensory nerve branches to the anterior hip joint capsule. It was described as an analgesic block for the acute pain management after hip fracture, while subsequent studies expanded the original indication. The aim of this narrative review was to summarize the existing knowledge about the PENG block from the anatomical bases and to provide an up-to-date description of the technique, applications and effects. We reviewed the following medical literature databases for publications on PENG block: PubMed, Google Scholar, EMBASE, and Web of science until August 31st, 2020. Data regarding anatomy, indications, drugs and technique were also collected, reported and discussed. From our search result we selected 57 relevant publications. Among them, 36 were case reports or case series and 12 publication were letters or correspondence; no RCT was identified. The main indication is the hip-related analgesia. The most commonly injected drug is a 20ml long-acting local anesthetic. There are some cases of femoral and obturator nerve block, but no major complication such as hematoma/bleeding or needle-related organ injury has been reported yet. The PENG block is a promising technique. Randomized controlled trials of high methodological quality are required to further elaborate the role of this block.

Could US-guided PENG block pass the ICU door? First reported case in a multiple-fracture ICU patient.

Could US-guided PENG block pass the ICU door? First reported case in a multiple-fracture ICU patient.

The role of the PENG block in hip fracture in elderly patient with severe comorbidities.

The role of the PENG block in hip fracture in elderly patient with severe comorbidities.

PENG block and LIA as a possible anesthesia technique for total hip arthroplasty.

The aim of this study is to evaluate the efficacy of the pericapsular nerve group block and local infiltration analgesia (LIA) combination as the only anesthesia technique for the total hip arthroplasty (THA). We considered the anesthetic plan, postoperative analgesia, hospital length of stay, functional recovery, bleeding, complications and the adverse events. We reported 10 ASA I-II patients admitted for elective primary THA, receiving LIA during (5) and at the end of surgery (5). For the PENG block we used a single injection of 40ml levobupivacaine 0.25% and dexamethasone 4mg. For LIA, a mixture of 0.25% levobupivacaine, ketorolac, epinephrine, and morphine was injected into periarticular tissues. The pain intensity was evaluated with a numeric rating scale. All patients were fully satisfied and improvement in pain relief, symptoms, and functional activity was remarkable. Intraoperative blood losses ranged 100-600ml. No intraoperative complications or signs of toxicity occurred. The median duration of surgery was 59.5 ± 4.5min and the hospital stay ranged between 2 and 3days. PENG block and LIA could be hypothesized as an effective and safety anesthesia technique for the THA surgery, facilitating hip functional recovery and limit intraoperative blood losses and adverse events.

Effectiveness of PENG Block Combined to LFCN Block on the Quality of Recovery After Total Hip Replacement

Effectiveness of PENG Block Combined to LFCN Block on the Quality of Recovery After Total Hip Replacement

Urinary tract infection in patients with rheumatoid arthritis.

Urinary tract infection in patients with rheumatoid arthritis.