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Utilization of a Continuous Pericapsular Nerve Group (PENG) Block with an Opioid-Sparing Repair of a Femoral Neck Fracture in a Pediatric Patient
Joint Authors
Wyatt, Karla
Zidane, Moustafa
Liu, Chyong-jy Joyce
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-07-15
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
In the pediatric population, femoral neck fractures are usually associated with high-impact trauma and often present with pain in the groin area.
Regional anesthesia can offer adjunctive therapy for acute pain management.
Various techniques have been employed to circumvent pain related to hip fractures and resultant hip surgery.
Neuraxial, lumbar plexus, caudal, epidural, fascia iliaca, and femoral continuous nerve block techniques are advantageous in mitigating hip pain.
However, these approaches require patient repositioning during placement and carry the potential for motor blockade with resultant weakness.
A newly described method, the Pericapsular Nerve Group (PENG) block, allows for analgesia of the anterior hip capsule via the obturator, accessory obturator, and femoral nerves while sparing motor blockade.
PENG blockade has demonstrated efficacy in both adult and pediatric patients.
Herein, we describe the perioperative course of a 9-year-old girl with a transcervical femoral neck fracture who underwent an opioid-sparing open repair with the utilization of a continuous PENG block.
PENG blockade via a continuous nerve block resulted in optimal analgesia and markedly reduced perioperative opioid consumption with preserved motor function.
Our experience facilitated early discharge and rehabilitation mobility while reducing potential rebound hyperalgesia and enabling parental/patient satisfaction.
American Psychological Association (APA)
Wyatt, Karla& Zidane, Moustafa& Liu, Chyong-jy Joyce. 2020. Utilization of a Continuous Pericapsular Nerve Group (PENG) Block with an Opioid-Sparing Repair of a Femoral Neck Fracture in a Pediatric Patient. Case Reports in Orthopedics،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1149820
Modern Language Association (MLA)
Wyatt, Karla…[et al.]. Utilization of a Continuous Pericapsular Nerve Group (PENG) Block with an Opioid-Sparing Repair of a Femoral Neck Fracture in a Pediatric Patient. Case Reports in Orthopedics No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1149820
American Medical Association (AMA)
Wyatt, Karla& Zidane, Moustafa& Liu, Chyong-jy Joyce. Utilization of a Continuous Pericapsular Nerve Group (PENG) Block with an Opioid-Sparing Repair of a Femoral Neck Fracture in a Pediatric Patient. Case Reports in Orthopedics. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1149820
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149820