•  
  •  
 

Corresponding Author

Abdullah Ahmed Abdullah

Document Type

Original Article

Abstract

Background: Proximal femur fractures are the most common type of fracture, especially in elderly adults. During surgery, regional anesthesia may be advised for certain individuals. But the severe pain associated with these injuries makes it difficult to place the regional anesthetic correctly, which alters the overall success rate.

Aim of the Work: To evaluate the overall effectiveness of pain alleviation during patient placement for spinal anesthesia by comparing the visual analog scale (VAS) score and ultrasound-guided pericapsular nerve group block (PENG) versus femoral nerve block (FNB).

Patients and Methods: Following permission from the Al-Azhar University Hospitals Scientific and Ethical Committees for the Anaesthesiology Department, 50 patients were enrolled in the study and split into two groups (n=25 each), PENG and FNB. The two groups received the appropriate pre- and post-operative evaluation and monitoring. The visual analog scaling technique was employed to contrast the two analgesic outcomes.

Results: 2018 saw the first description of the PENG block for the preoperative treatment of femur neck fractures. We did not find any statistically significant differences in pain levels throughout the first 24 hours following surgery and during the positioning process for spinal anesthesia. Similarly, there was no discernible difference between the two groups' first rescue analgesia time or cumulative nalbuphine consumption 24 hours following surgery.

Conclusion: In comparison with femoral nerve block, This study found no evidence that PENG block significantly reduces pain during spinal anesthesia positioning for the treatment of hip fractures

Keywords

Guided Pericapsular Nerve; Femoral Nerve; Spinal Anesthesia; Femur Fracture

Subject Area

Anesthesiology

Download

Share

COinS