Title : BLOCK BEFORE BLOCK-Analgesic efficacy of PENG (Pericapsular Nerve Group) Versus FICB (Fascia Iliaca Compartment Block) for positioning patients with hip fractures for spinal anesthesia
Abstract:
Fracture of the hip joint is a common and serious injury in geriatric population because of osteoporosis. Any movement at the hip joint, whether during transposition to hospital or during radiological procedure and then to OT, all causes extremely severe pain. Multiple comorbidities in elderly patients escalates the need for regional analgesia and anesthesia. For the surgical correction of hip fractures, spinal anesthesia is the commonly employed technique. However, the sitting position required for administering spinal anesthesia causes excruciating pain that may adversely affect the hemodynamic vital of the patient. Several methods like intravenous sedation, opioids and femoral nerve block have been studied with varied results to ameliorate the pain while positioning. FICB when compared with femoral nerve block has been found to be certainly superior in providing pain relief sans the motor block associated when the femoral nerve is blocked. PENG is a new block that is sparingly studied and thought to be more precise in blocking the pain of hip fractures. In our study we compared the analgesic efficacy of ultrasound guided PENG to supra inguinal FICB for positioning during spinal anesthesia and found both the blocks comparable.
