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Pericapsular Nerve Group (PENG) block versus fascia iliaca compartment (FI) block for hip surgery: a systematic review and meta-analysis of randomized controlled trials
Andrade, Priscila P; Lombardi, Rafael A; Marques, Isabela R; Braga, Anna Carla Di Napoli Andrade e; Isaias, Beatrice R S; Heiser, Nicholas E.
  • Andrade, Priscila P; Hospital Regional de Sorocaba Adib Domingos Jatene. Divisão de Anestesiologia. Sorocaba. BR
  • Lombardi, Rafael A; University of Nebraska Medical Center. Department of Anesthesiology. Omaha. US
  • Marques, Isabela R; Universitat Internacional de Catalunya. Division of Medicine. Barcelona. ES
  • Braga, Anna Carla Di Napoli Andrade e; Faculdade de Ciências Médicas de Minas Gerais. Divisão de Medicina. Belo Horizonte. BR
  • Isaias, Beatrice R S; Universidade Federal de Mato Grosso do Sul. Divisão de Medicina. Campo Grande. BR
  • Heiser, Nicholas E; University of Nebraska Medical Center. Department of Anesthesiology. Omaha. US
Braz. J. Anesth. (Impr.) ; 73(6): 794-809, Nov.Dec. 2023. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1520384
ABSTRACT
Abstract

Background:

This study compares Fascia Iliaca compartment (FI) block and Pericapsular Nerve Group (PENG) block for hip surgery.

Methods:

Pubmed, Embase and Cochrane were systematically searched in April 2022. Inclusion criteria were Randomized Controlled Trials (RCTs); comparing PENG block versus FI block for hip surgery; patients over 18 years of age; and reporting outcomes immediately postoperative. We excluded studies with overlapped populations and without a head-to-head comparison of the PENG block vs. FI block. Mean-Difference (MD) with 95% Confidence Intervals (CI) were pooled. Trial Sequential Analyses (TSA) were performed to assess inconsistency. Quality assessment and risk of bias were performed according to Cochrane recommendations.

Results:

Eight RCTs comprising 384 patients were included, of whom 196 (51%) underwent PENG block. After hip surgery, PENG block reduced static pain score at 12h post-surgery (MD = 0.61 mm; 95% CI 1.12 to -0.09; p = 0.02) and cumulative postoperative oral morphine consumption in the first 24h (MD = -6.93 mg; 95% CI -13.60 to -0.25; p = 0.04) compared with the FI group. However, no differences were found between the two techniques regarding dynamic and static pain scores at 6 h or 24 h post-surgery, or in the time to the first analgesic rescue after surgery.

Conclusion:

The findings suggest that PENG block reduced opioid consumption in the first 24 h after surgery and reduced pain scores at rest at 12 h post-surgery. Further research is needed to fully understand the effects of the PENG block and its potential benefits compared to FI block. PROSPERO registration CRD42022339628 PROSPERO registration https//www.crd.york.ac.uk/prospero/display_record.php? RecordID=339628
Asunto(s)


Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Nervio Femoral / Bloqueo Nervioso Tipo de estudio: Revisiones Sistemáticas Evaluadas Límite: Adolescente / Adulto / Humanos Idioma: Inglés Revista: Braz. J. Anesth. (Impr.) Año: 2023 Tipo del documento: Artículo País de afiliación: Brasil / España / Estados Unidos Institución/País de afiliación: Faculdade de Ciências Médicas de Minas Gerais/BR / Hospital Regional de Sorocaba Adib Domingos Jatene/BR / Universidade Federal de Mato Grosso do Sul/BR / Universitat Internacional de Catalunya/ES / University of Nebraska Medical Center/US

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Nervio Femoral / Bloqueo Nervioso Tipo de estudio: Revisiones Sistemáticas Evaluadas Límite: Adolescente / Adulto / Humanos Idioma: Inglés Revista: Braz. J. Anesth. (Impr.) Año: 2023 Tipo del documento: Artículo País de afiliación: Brasil / España / Estados Unidos Institución/País de afiliación: Faculdade de Ciências Médicas de Minas Gerais/BR / Hospital Regional de Sorocaba Adib Domingos Jatene/BR / Universidade Federal de Mato Grosso do Sul/BR / Universitat Internacional de Catalunya/ES / University of Nebraska Medical Center/US