Ultrasound Guided Pericapsular Nerve Group Block Combined with Lateral Femoral Cutaneous Nerve Block versus Fascia Iliaca Block for Postoperative Analgesia in Hip Surgeries

Authors

Mahmoud Maher Shaban Elmeseiry, Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine for Boys, Al-Azhar University, Cairo, EgyptFollow
Osama Abd Elhay Kasem, Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt
Tamer Mohamed Ahmed Ewida, Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

Corresponding Author

Mahmoud Maher Shaban Elmeseiry

Abstract

Background: Effective pain management is a primary focus following hip surgeries. Patients frequently encounter significant pain following these procedures, for patients having hip surgeries.

Objective: This work aimed to to evaluate two methods for alleviating postoperative pain: the supra inguinal fascia iliaca block (S-FICB) and the pericapsular nerve group block (PENG) with lateral femoral cutaneous nerve (LFCN) block, which is administered by a single injection of ultrasound (US).

Methods: In this randomized, controlled, and single-blind study, 60 male and female patients, ranging in age from 20 to 60, with body mass indexes (BMIs) of 18 to 25 kg/m2 were all part of this study. Under spinal anesthesia (SA), hip surgeries were carried out. Patients were equally separated into two groups; one group underwent SA with US guidance, while the other group received LFCN Block and SFICB.

Results: Both groups' VAS at rest and after cough was insignificant at 0h, 30min, 60min, 90min, 2 h, 4h, 8h, 12h, 16h, and 24h. Both groups had similar postoperative heart rate and mean arterial blood pressure at 0h, 30min, 60min, 90min, 2h, 4h, 8h, 12h, 16h, and 24h. First-day morphine consumption and rescue analgesia request time were similar between groups. Neither group had significantly different patient satisfaction or side effects.

Conclusions: A single injection US- PENG with LFCN in hip surgeries produced similar pain scores, total opioid consumption, time to first analgesia, sensory and motor blockade, hemodynamics, and adverse events to S. FICB. In these parameters, the two groups were similar.

Article Type

Original Article

Keywords

Analgesia; Fascia Iliaca Block; Hip Surgeries; Lateral Femoral Cutaneous Nerve Block; Pericapsular Nerve Group Block

How to Cite This Article

Elmeseiry, Mahmoud Maher Shaban; Kasem, Osama Abd Elhay; and Ewida, Tamer Mohamed Ahmed (2024) "Ultrasound Guided Pericapsular Nerve Group Block Combined with Lateral Femoral Cutaneous Nerve Block versus Fascia Iliaca Block for Postoperative Analgesia in Hip Surgeries," Al-Azhar International Medical Journal: Vol. 5: Iss. 12, Article 7.
DOI: https://doi.org/10.58675/2682-339X.2786