Different local anesthetic volumes in pericapsular nerve group block for hip fracture patients

Authors

YUSUF ÖZGÜNERFollow
SAVAŞ ALTINSOYFollow
GÖKÇEN KÜLTÜROĞLUFollow
SEVDA GÖKÇE GÜRPINARFollow
DERYA ÖZKANFollow
JÜLİDE ERGİLFollow
ERBİL AYDINFollow

Abstract

Background/aim: The pericapsular nerve group (PENG) block is an effective method for pain management in patients with hip fractures. In our study, we compared three different local anesthetic volumes of the PENG block in patients who underwent surgery for hip fracture.Materials and methodsː Patients who underwent surgery with spinal anesthesia for intertrochanteric femur fractures (60 patients) were divided into three groups based on the volume of local anesthetic administered: Group 1 (20 mL), Group 2 (30 mL), and Group 3 (40 mL). Postoperative patient-controlled analgesia was initiated. Postoperative tramadol consumption, rest and movement pain scores, and the duration of motor block were monitored.Resultsː We found that Group 2 (118 ± 35.48 mg) and Group 3 (115 ± 42.98 mg) had reduced tramadol consumption compared to Group 1 (151 ± 31.43 mg) (p < 0.05). However, Group 3 (161 ± 18.6 min) had a longer duration of motor block (time to reach a Bromage score of 0) compared to Group 1 (132.25 ± 13.71 min) and Group 2 (143.5 ± 19.54 min) (p < 0.05).Conclusionː We found that the 30 mL and 40 mL volumes in the PENG block resulted in lower tramadol consumption compared to the 20 mL volume. We believe that the 30 mL volume is the most appropriate option among the three volumes, as it provides similaranalgesic efficacy to the 40 mL volume but causes less motor block.

Author ORCID Identifier

YUSUF ÖZGÜNER: 0000-0002-9629-0246

SAVAŞ ALTINSOY: 0000-0002-3588-7145

GÖKÇEN KÜLTÜROĞLU: 0000-0003-3481-5518

SEVDA GÖKÇE GÜRPINAR: 0000-0003-0863-7711

DERYA ÖZKAN: 0000-0002-8964-3015

JÜLİDE ERGİL: 0000-0002-4580-7866

ERBİL AYDIN: 0000-0002-1187-0744

DOI

10.55730/1300-0144.6038

Keywords

Hip fractures, pain management, pericapsular nerve group block, regional anesthesia

First Page

860

Last Page

867

Publisher

The Scientific and Technological Research Council of Türkiye (TÜBİTAK)

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Recommended Citation

ÖZGÜNER, Y, ALTINSOY, S, KÜLTÜROĞLU, G, GÜRPINAR, S, ÖZKAN, D, ERGİL, J, & AYDIN, E (2025). Different local anesthetic volumes in pericapsular nerve group block for hip fracture patients. Turkish Journal of Medical Sciences 55 (4): 860-867. https://doi.org/10.55730/1300-0144.6038