Anesthésie et recherche clinique
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Essai contrôlé randomisé sur l'analgésie par bloc du groupe nerveux péricapsulaire (PENG) dans les fractures du bassin ou de l'acétabulum

Shweta Mahajan1*, Nagesh Pandit1, Sandeep Kashyap2, Sonali Kaushal1

Background and Aim: Pain management is a key factor in the prehospital and perioperative periods of patients with hip and pelvic fractures. It has been known that the coverage of articular nerves around hip joints is critical for effective analgesia and the spread of conventional analgesics doesn’t cover the obturator nerve therefore, may not cause effective analgesia. Since, block covers most of the hip joint articular nerves, this technique provides better analgesia as compared to conventional analgesics.

Methods: Forty ASA I/II/III patients belonging to age groups 18-75 years with radiologically confirmed pelvic or acetabulum fractures were enrolled in randomized control trial. Patients were randomly allocated to one of the groups 20 patients received PENG Block (Group A) and 20 patients received traditional analgesics (Group B).

Results: There was significant difference in Numerical Rating Scale (NRS) scores at all-time intervals. There was statistically significant difference in need for rescue analgesics and antiemetic’s.

Conclusion: Ultrasound guided PENG block provides better analgesia with reduced NRS Score, need for antiemetic and improves vitals in patients with pelvic or acetabulum fractures.