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What do we know about the PENG block for hip surgery? A narrative review / ¿Qué conocemos del bloqueo PENG para cirugía de cadera? Una revisión narrativa
Santis, Agustina De; Suhr, Bruno; Irizaga, Gonzalo.
Affiliation
  • Santis, Agustina De; Universidad de la República. School of Medicine. Department and Chair of Anesthesiology. Montevideo. UY
  • Suhr, Bruno; Universidad de la República. School of Medicine. Department and Chair of Anesthesiology. Montevideo. UY
  • Irizaga, Gonzalo; Universidad de la República. School of Medicine. Department and Chair of Anesthesiology. Montevideo. UY
Rev. colomb. anestesiol ; 52(3): 6, July-Sept. 2024. tab, graf
Article in En | LILACS-Express | LILACS | ID: biblio-1576179
Responsible library: CO304.1
ABSTRACT
Abstract Postoperative pain management in hip surgery is classified as severe and its inadequate control leads to complications that increase patient morbidity and mortality. The PENG block is advocated as a safe, opioid-sparing analgesic technique, which provides an adequate level of analgesia. The purpose of this study is to analyze about the efficacy, safety and therapeutic appropriateness of the PENG block in hip surgery. To this end, a narrative review is conducted using various databases such as PubMed and the Cochrane library. In all of the studies analyzed, an adequate postoperative pain control was achieved using the PENG block, with reduction in pain assessment scales and opioid consumption in the first postoperative hours. Improved results were also seen as compared with other regional blocks. There were few adverse effects and none of them was classified as severe. The PENG block contributes with numerous advantages and few adverse effects for hip surgery. Further studies are needed on this block, whether alone or in combination with other regional techniques, so as to include it in analgesia protocols, developing a standardized approach and study the outcomes in more controlled settings.
RESUMEN
Resumen El manejo del dolor posoperatorio en cirugía de cadera se cataloga como severo y su inadecuado control conduce a complicaciones que aumentan la morbimortalidad de los pacientes. El bloqueo PENG se postula como una técnica analgésica segura, ahorradora de opioides, que otorga un nivel analgésico adecuado. El objetivo de este estudio es analizar acerca de la eficacia, seguridad y el lugar terapéutico del bloqueo PENG en cirugía de cadera. Para ello, se hace una revisión narrativa utilizando distintas bases de datos como PubMed y la biblioteca Cochrane. En todos los estudios analizados se observó un adecuado control del dolor posoperatorio con el uso del bloqueo PENG, con reducción en las escalas de evaluación del dolor y en el consumo de opioides en las primeras horas del posoperatorio. También se evidenciaron mejores resultados en comparación con otros bloqueos regionales. Los efectos adversos fueron escasos, y ninguno se catalogó como grave. El bloqueo PENG aporta numerosas ventajas con escasos efectos adversos para cirugía de cadera. Es necesario continuar estudiando este bloqueo, solo o en combinación con otras técnicas regionales, e incluirlo en protocolos de analgesia, estandarizarlo y estudiar sus resultados en escenarios más controlados.
Key words

Full text: 1 Collection: 01-internacional Database: LILACS Language: En Journal: Rev. colomb. anestesiol Journal subject: ANESTESIOLOGIA Year: 2024 Document type: Article Affiliation country: Uruguay Country of publication: Colombia

Full text: 1 Collection: 01-internacional Database: LILACS Language: En Journal: Rev. colomb. anestesiol Journal subject: ANESTESIOLOGIA Year: 2024 Document type: Article Affiliation country: Uruguay Country of publication: Colombia