Ahmed Mostafa Ibrahim Abo sakaya
Asst. Professor
Comparison between peri‑capsular nerve group and supra inguinal fascia iliaca block for analgesia and ease of positioning during neuraxial anesthesia in hip fracture patients: A randomized double-blind trial
Egyptian J. Of Anaesthesia • 2024
Publication Information
Authors
Hany Bauiomy, Neveen A. Kohaf, Mohammed Saad & Ahmed M. Abosakaya
Keywords
Pericapsular Nerve group block, supra inguinal fascia iliaca block
Journal
Egyptian J. Of Anaesthesia
Publisher
Taylor&Francis
Volume
40
Issue
1
Pages
193-200
publication.type
International
Paper Link
Open Link
Supplementary Materials
Not Available
Abstract
Introduction
Patients with fractured hips almost always have marked pain that results in unfavorable positioning for the central neuraxial block. It was revealed that regional block approaches, including suprainguinal fascia-iliaca compartment block (S-FICB) and pericapsular nerve group (PENG) block, might effectively alleviate pain in patients with hip fractures. This research aimed to evaluate the influence of S-FICB and PENG block on patients positioning during central neuraxial block and compare their analgesic efficacy.
Methods
This randomized double-blinded trial included 60 cases aged ≥ 40 years old and ASA I-III with hip fracture with persistent pain and scheduled for surgery under spinal anesthesia (SA). Cases were randomized equally into two groups. Group I (S-FICB) received ultrasound (US) guided S-FICB, and group II (PENG group) received US guided PENG. Both blocks were performed by the same operator using 23 ml of ropivacaine 0.25% + 2 ml (8 mg) of dexamethasone.
Results
The ease of spinal positioning (EOSP) score was significantly better in the PENG group than the S-FICB group (p
Patients with fractured hips almost always have marked pain that results in unfavorable positioning for the central neuraxial block. It was revealed that regional block approaches, including suprainguinal fascia-iliaca compartment block (S-FICB) and pericapsular nerve group (PENG) block, might effectively alleviate pain in patients with hip fractures. This research aimed to evaluate the influence of S-FICB and PENG block on patients positioning during central neuraxial block and compare their analgesic efficacy.
Methods
This randomized double-blinded trial included 60 cases aged ≥ 40 years old and ASA I-III with hip fracture with persistent pain and scheduled for surgery under spinal anesthesia (SA). Cases were randomized equally into two groups. Group I (S-FICB) received ultrasound (US) guided S-FICB, and group II (PENG group) received US guided PENG. Both blocks were performed by the same operator using 23 ml of ropivacaine 0.25% + 2 ml (8 mg) of dexamethasone.
Results
The ease of spinal positioning (EOSP) score was significantly better in the PENG group than the S-FICB group (p