Key result
The PENG block provides superior analgesia and low opioid consumption in the first postoperative period for patients undergoing hip surgery, though current evidence is insufficient.
Why the study?
Perioperative pain management with hip surgery is challenging, and the safety and efficacy of the new motor-sparing pericapsular nerve group block required evaluation.
Does the pericapsular nerve group (PENG) block improve postoperative pain management in patients undergoing hip surgery?
Does the pericapsular nerve group (PENG) block improve postoperative pain management in patients undergoing hip surgery?
The PENG block may provide superior early postoperative analgesia and reduce opioid consumption for hip surgery, but high-quality RCTs are needed to confirm these findings.
PENG block may offer motor-sparing analgesia after hip surgery; leaves open need for RCTs to confirm efficacy and safety.
Introduction. Perioperative pain management associated with hip surgery is challenging. The pericapsular nerve group (PENG) block is a new technique thought to provide better postoperative analgesia in addition to its motor-sparing effects. Aim. This review aims to evaluate the safety and efficacy of the PENG blockade in managing postoperative pain in patients undergoing hip surgery. Methods. The literature was reviewed through four electronic databases: PubMed, Cochrane Library, Google Scholar, and Embase. Results. The initial search yielded 416 articles. Twenty-seven relevant articles were selected based on relevance, recentness, search quality, and citations. Twelve of the studies were related to patients undergoing total hip arthroplasty. Twelve studies were related to patients undergoing total hip surgery due to hip fracture. Finally, three studies were related to patients undergoing hip arthroscopy. Conclusions. The PENG block provides superior analgesia and low opioid consumption in the first postoperative period. However, current evidence is insufficient, and there is a need for high-quality randomized, controlled trials with larger sample sizes.
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Reysner et al. (2023) conducted a review in Hip surgery. Pericapsular nerve group (PENG) block was evaluated on Postoperative analgesia and opioid consumption. The PENG block provides superior analgesia and low opioid consumption in the first postoperative period for patients undergoing hip surgery, though current evidence is insufficient.
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