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Acta médica Grupo Ángeles
versión impresa ISSN 1870-7203
Resumen
CESPEDES KORRODI, Miguel Ángel et al. Quality of postoperative analgesia with PENG blockade under general anesthesia vs. spinal anesthesia in hip surgery patients. Acta méd. Grupo Ángeles [online]. 2023, vol.21, n.1, pp.16-21. Epub 09-Jun-2023. ISSN 1870-7203. https://doi.org/10.35366/109015.
Introduction:
the PENG block has been shown to offer effective analgesia in hip surgery. Traditional opioid analgesia is associated with high-impact side effects in the evolution of postoperative outcomes. We report the quality of postoperative analgesia in two settings: general anesthesia and spinal anesthesia plus regional anesthesia, showing similar efficacy and safety.
Material and methods:
60 consecutive patients were collected: group 1 general anesthesia plus PENG and group 2 spinal anesthesia plus PENG. Passive and active pain scores were recorded in the preoperative period, PICU, at 6, 12, 18, and 24 hours.
Results:
the mean pain score for both groups in the postoperative period was 2.0-1.0 on the VAS scale at 24 hours. 81.7% of the patients did not require additional analgesia to the basic analgesic scheme; the 18.3% of patients who required analgesic rescue were of the NSAID type; 70% of them were 12 hours after the placement of the PENG block. 95% of patients were satisfied with postoperative analgesia.
Conclusion:
PENG block is associated with a high analgesic success rate in hip surgery and a low incidence of complications; can be considered a safe alternative in the multimodal scheme.
Palabras llave : postoperative analgesia; PENG block; hip surgery; spinal anesthesia; general anesthesia.