Comparison of pericapsular nerve group block and femoral nerve block in spinal anesthesia position analgesia for proximal femoral fractures in geriatric patients: a randomized clinical trial.
| Title: | Comparison of pericapsular nerve group block and femoral nerve block in spinal anesthesia position analgesia for proximal femoral fractures in geriatric patients: a randomized clinical trial. |
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| Transliterated Title: | Geriatrik hastalarda proksimal femur kırıklarında spinal anestezi pozisyonu analjezisinde perikapsüler sinir grubu bloğu ile femoral sinir bloğunun karşılaştırılması: Randomize klinik çalışma. |
| Authors: | Erten E; Department of Anesthesiology and Reanimation, Gulhane Training and Research Hospital, Ankara-Türkiye.; Kara U; Department of Anesthesiology and Reanimation, Gulhane Training and Research Hospital, Ankara-Türkiye.; Şimşek F; Department of Anesthesiology and Reanimation, Gulhane Training and Research Hospital, Ankara-Türkiye.; Eşkin MB; Department of Anesthesiology and Reanimation, Gulhane Training and Research Hospital, Ankara-Türkiye.; Bilekli AB; Department of Orthopaedic Surgery, Gulhane Training and Research Hospital, Ankara-Türkiye.; Öcal N; Department of Pulmonary Medicine, Gulhane Training and Research Hospital, Ankara-Türkiye.; Şenkal S; Department of Anesthesiology and Reanimation, Gulhane Training and Research Hospital, Ankara-Türkiye.; Ozdemirkan İ; Department of Anesthesiology and Reanimation, Gulhane Training and Research Hospital, Ankara-Türkiye. |
| Source: | Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES [Ulus Travma Acil Cerrahi Derg] 2023 Dec; Vol. 29 (12), pp. 1368-1375. |
| Publication Type: | Comparative Study; Journal Article; Randomized Controlled Trial |
| Language: | English |
| Journal Info: | Publisher: KARE Yayıncılık Country of Publication: Turkey NLM ID: 101274231 Publication Model: Print Cited Medium: Internet ISSN: 1307-7945 (Electronic) Linking ISSN: 1306696X NLM ISO Abbreviation: Ulus Travma Acil Cerrahi Derg Subsets: MEDLINE |
| Imprint Name(s): | Publication: Kadıköy, İstanbul : KARE Yayıncılık; Original Publication: [Istanbul] : Ulusal Travma ve Acil Cerrahi Derneği, [2003]- |
| MeSH Terms: | Hip Fractures*/surgery ; Analgesia* ; Anesthesia, Spinal* ; Proximal Femoral Fractures*; Aged ; Humans ; Femoral Nerve ; Pain ; Postoperative Pain |
| Abstract: | Background: This study aimed to compare the analgesic efficacy of the femoral nerve block (FNB) with that of the pericapsular nerve group (PENG) block in the lateral decubitus position for spinal anesthesia in geriatric hip fracture surgery.; Methods: Patients aged ≥65 years scheduled to undergo hip fracture surgery for proximal femur fractures with an American Society of Anesthesiologists physical status of class I-IV and body mass index of 18-40 kg/m2 were included in the study. The PENG block or FNB was performed 20 min before positioning for spinal anesthesia. Lateral position, hip flexion, and lumbar spine flexion pain were evaluated during spinal anesthesia.; Results: Sixty patients completed the study. The median pain scores for lateral positioning were 2 (0-4) and 2.5 in the PENG and FNB groups, respectively (P=0.001). The median pain scores during hip flexion were 1 (0-4) and 2.5 in the PENG and FNB groups, respectively (P0.05).; Conclusion: Pre-operative PENG block is more effective in reducing the pain associated with spinal anesthesia position than FNB in geriatric hip fractures. Both blocks had a similar effect on posture quality and the number of spinal interventions. |
| References: | Anesthesiology. 2012 Jul;117(1):72-92. (PMID: 22713634); Ulus Travma Acil Cerrahi Derg. 2020 Jan;26(1):109-114. (PMID: 31942744); Cochrane Database Syst Rev. 2017 May 11;5:CD001159. (PMID: 28494088); Anaesthesia. 2018 Jun;73(6):769-783. (PMID: 29278266); J Healthc Eng. 2022 Feb 09;2022:7452716. (PMID: 35186238); PLoS One. 2021 Jun 4;16(6):e0252716. (PMID: 34086782); Saudi J Anaesth. 2022 Apr-Jun;16(2):221-225. (PMID: 35431736); Reg Anesth Pain Med. 2018 Feb;43(2):186-192. (PMID: 29140962); Ulus Travma Acil Cerrahi Derg. 2022 Jun;28(6):832-838. (PMID: 35652877); Int J Gen Med. 2010 Apr 08;3:1-17. (PMID: 20463818); Osteoporos Int. 2010 Dec;21(Suppl 4):S555-72. (PMID: 21057995); Reg Anesth Pain Med. 2021 May;46(5):398-403. (PMID: 33637625); Anesthesiol Clin. 2018 Sep;36(3):403-415. (PMID: 30092937); Clin Interv Aging. 2020 Jul 10;15:1113-1119. (PMID: 32764898); Anesthesiology. 2001 May;94(5):888-906. (PMID: 11388543); Cureus. 2020 May 19;12(5):e8200. (PMID: 32572357); Acta Anaesthesiol Scand. 2009 Nov;53(10):1282-7. (PMID: 19650803); Spine (Phila Pa 1976). 2002 Dec 1;27(23):2631-44. (PMID: 12461389); Case Rep Anesthesiol. 2020 Mar 12;2020:1830136. (PMID: 32231802); J Pain Res. 2020 Nov 26;13:3139-3146. (PMID: 33273851); Reg Anesth Pain Med. 2018 Nov;43(8):859-863. (PMID: 30063657) |
| Entry Date(s): | Date Created: 20231211 Date Completed: 20240208 Latest Revision: 20260127 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC10767289 |
| DOI: | 10.14744/tjtes.2023.33389 |
| PMID: | 38073453 |
| Database: | MEDLINE |
Comparative Study; Journal Article; Randomized Controlled Trial