Why the study?
Locoregional anesthetic techniques help control pain and reduce opioid use in hip fracture, and combining pericapsular nerve group and lateral femoral cutaneous nerve blocks can achieve skin and subcutaneous tissue anesthesia.
Combined PENG and LFCN blocks with sedation provided effective anesthesia and postoperative analgesia for femoral neck fracture fixation in a polytraumatized patient where general or spinal anesthesia was contraindicated.
Combined PENG-LCFN block may achieve cutaneous analgesia in hip fracture; hypothesis-generating and requires randomized trials before adoption.
Locoregional anesthetic techniques in hip fracture are significant in order to control pain, reduce postoperative opioid use, and perioperative adverse events. Pericapsular nerve group (PENG) block has been described and proved as an effective analgesic method for hip surgery as an alternative to other regional nerve blocks. The association of PENG and lateral femoral cutaneous nerve (LCFN) block can be performed to achieve skin and subcutaneous tissues analgesia or anesthesia. Direct anterior approach PENG block is considered a safe and effective anesthesia technique for total hip arthroplasty surgery. In this paper, we aim to describe a case report of a PENG and LFCN block successful association for anesthesia in a major trauma patient who undergone surgical percutaneous fixation of femoral neck fracture.
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VALORIANI et al. (2022) studied this question.
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