Pericapsular Nerve Group (PENG) block for perioperative pain control in hip arthroscopy

• Published in: Journal of clinical anesthesia 2020-02, Vol.59, p.3-4
• Main Authors: Orozco, Sergio, Muñoz, David, Jaramillo, Santiago, Herrera, Ana Milena
• Format: Article
• Language: English
• Subjects: Abdominal Muscles - diagnostic imaging; Abdominal Muscles - innervation; Adult; Analgesia - methods; Anesthesia; Arthroscopy - adverse effects; Bupivacaine - administration & dosage; Catheters; Female; Femoracetabular Impingement - surgery; Femoral Nerve - diagnostic imaging; Femoral Nerve - drug effects; Hip Joint - innervation; Hip Joint - surgery; Humans; Lidocaine - administration & dosage; Male; Middle Aged; Nerve Block - methods; Pain management; Pain Measurement; Pain, Postoperative - diagnosis; Pain, Postoperative - etiology; Pain, Postoperative - prevention & control; Performance evaluation; Psoas Muscles - diagnostic imaging; Psoas Muscles - innervation; Surgery; Treatment Outcome; Ultrasonic imaging; Ultrasonography, Interventional
• ISSN: 0952-8180; 1873-4529
• DOI: 10.1016/j.jclinane.2019.04.037

Following this publication, Ueshima and Otake [4,5] documented their successful clinical experience using the PENG technique in four patients for perioperative pain management in a hip joint dislocation reduction [5] and a hip replacement surgery [4]. Concisely, with the patient in supine position and under general anesthesia, a curve low-frequency ultrasound probe was positioned over the anterosuperior iliac spine and then rotated to 45° to obtain the projection from lateral to medial of the anterior inferior iliac spine, iliopubic eminence, psoas tendon, and the femoral artery (Fig. 1). The highest level of pain assessed through the visual analog scale (VAS) was three while in the recovery room and up to 24 h postsurgery.