Abstract

ZARAGOZA-LEMUS, Guadalupe; CESPEDES-KORRODI, Miguel Ángel; HERNANDEZ-RODRIGUEZ, Daniela  and  MANCERA-RANGEL, Margarita. Catheter placement in continuous PENG blockade in hip surgery. Rev. mex. anestesiol. [online]. 2021, vol.44, n.3, pp.233-236.  Epub Oct 04, 2021. ISSN 0484-7903.

The control of acute pain in hip surgery is a challenge for the anesthesiologist, not only because of the complexity of the pain derived from osteotomies in a larger joint; but because of the multipathology and fragility that accompanies the geriatric patient. The pericapsular nerve block, known as «PENG block» is a purely sensitive ultrasound-guided block that inhibits the surgical nociceptive impulse of three nerves of the hip joint: the femoral nerve, the obturator nerve and the accessory obturator nerve. This block has an average duration of 10 to 12 hours, prolonging this efficiency and the safety margin provided by this technique led us to place an ultrasound-guided catheter in the PENG block for a male patient scheduled for total hip arthroplasty with the objective of controlling pain up to 48 hours after the surgical procedure, optimizing resources and reducing their hospital stay and reducing the risk of delirium and adverse effects derived from the use of opioids commonly associated in elderly patients. Continuous PENG block is part of multimodal management coupled with general anesthesia or other regional anesthesia techniques, with more hours of analgesia compared to a single dose.

Keywords : Hip surgery; analgesia continuous; PENG block; peripheral catheter; regional anesthesia.