Perioperative Anesthesia Reports
https://par.saesp.org.br/article/doi/10.61724/par.e00112024
Perioperative Anesthesia Reports
Case Report

Association of PENG block, lateral femoral cutaneous, iliohypogastric, subcostal, and superior cluneal nerve blocks for postoperative analgesia in osteosynthesis of trochanteric fracture: a case report

Vitor Turra Aleixo Vitarelli, Leonardo Saraiva Guimarães de Oliveira

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Abstract

The pericapsular nerve group block (PENG block) has been successfully used in postoperative analgesia for hip surgeries. However, this technique does not address the innervation of incision areas. As the absence of this coverage can cause postoperative pain, the PENG block is associated with the lateral femoral cutaneous nerve block. Nevertheless, the typical incision areas of hip surgeries can also be innervated by the iliohypogastric, subcostal, and superior cluneal nerves. This report evaluated the effective postoperative analgesia generated by the association of these blocks in the osteosynthesis of a transtrochanteric fracture, reflected by low pain scores and no opioid requirements.

Keywords

Regional anesthesia; hip fractures; nerve block

References

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Submitted date:
11/13/2024

Accepted date:
05/09/2025

6839ae8da95395673c519855 par Articles
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