$Comparison between femoral block and PENG block in femoral neck fractures: A cohort study.$
Código QR

Comparison between femoral block and PENG block in femoral neck fractures: A cohort study.

<h4>Background</h4>Regional analgesia is worth performing in the multimodal postoperative management of hip fracture (HF) because it reduces hospital morbidity and mortality. The aim of this study is to compare the efficacy and side effects of the recently described "Pericapsular Ne...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Céline Allard, Emmanuel Pardo, Christophe de la Jonquière, Anne Wyniecki, Anne Soulier, Annibal Faddoul, Eileen S Tsai, Francis Bonnet, Franck Verdonk
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bf8d304c3fdb47a2aaaec12fc35f5ba4
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:bf8d304c3fdb47a2aaaec12fc35f5ba4
record_format	dspace
spelling	oai:doaj.org-article:bf8d304c3fdb47a2aaaec12fc35f5ba42021-12-02T20:07:17ZComparison between femoral block and PENG block in femoral neck fractures: A cohort study.1932-620310.1371/journal.pone.0252716https://doaj.org/article/bf8d304c3fdb47a2aaaec12fc35f5ba42021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252716https://doaj.org/toc/1932-6203<h4>Background</h4>Regional analgesia is worth performing in the multimodal postoperative management of hip fracture (HF) because it reduces hospital morbidity and mortality. The aim of this study is to compare the efficacy and side effects of the recently described "Pericapsular Nerve Group (PENG) Block" with those of the femoral block, which is considered the standard of care for postoperative pain control after femoral neck fracture.<h4>Materials and methods</h4>We conducted a comparative observational study at a university hospital (Saint Antoine Hospital, Sorbonne University, Paris, France), where the PENG block was introduced in August 2019. We include all patients from June to October 2019, who were coming for femoral neck fractures and who had an analgesic femoral block or PENG block before their surgery. The primary outcome was the comparison of cumulative postoperative morphine consumption 48 hours after surgery.<h4>Results</h4>Demographics, medical charts, and perioperative data of 42 patients were reviewed: 21 patients before (Femoral group) and 21 patients after the introduction of PENG block (PENG group) in clinical practice. Thirteen total hip arthroplasties (THA) and eight hemi arthroplasties (HA) were included in each group. Demographics were also comparable. The median, postoperative, morphine equivalent consumption at 48 hours was 10 [0-20] mg and 20 [0-50] mg in Femoral and PENG groups respectively (p = 0.458). No statistically significant differences were found in postoperative pain intensity, time to ambulation, incidence of morphine-related side effects, or length of hospital stay. The postoperative muscle strength of the quadriceps was greater in the PENG group than in the Femoral group (5/5 vs. 2/5, p = 0.001).<h4>Conclusion</h4>In the management of hip fractures, PENG block is not associated in our study with a significant change in postoperative morphine consumption, compared to femoral block. However, it does significantly improve the immediate mobility of the operated limb, making it appropriate for inclusion in enhanced recovery programs after surgery.Céline AllardEmmanuel PardoChristophe de la JonquièreAnne WynieckiAnne SoulierAnnibal FaddoulEileen S TsaiFrancis BonnetFranck VerdonkPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252716 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Céline Allard Emmanuel Pardo Christophe de la Jonquière Anne Wyniecki Anne Soulier Annibal Faddoul Eileen S Tsai Francis Bonnet Franck Verdonk Comparison between femoral block and PENG block in femoral neck fractures: A cohort study.
description	<h4>Background</h4>Regional analgesia is worth performing in the multimodal postoperative management of hip fracture (HF) because it reduces hospital morbidity and mortality. The aim of this study is to compare the efficacy and side effects of the recently described "Pericapsular Nerve Group (PENG) Block" with those of the femoral block, which is considered the standard of care for postoperative pain control after femoral neck fracture.<h4>Materials and methods</h4>We conducted a comparative observational study at a university hospital (Saint Antoine Hospital, Sorbonne University, Paris, France), where the PENG block was introduced in August 2019. We include all patients from June to October 2019, who were coming for femoral neck fractures and who had an analgesic femoral block or PENG block before their surgery. The primary outcome was the comparison of cumulative postoperative morphine consumption 48 hours after surgery.<h4>Results</h4>Demographics, medical charts, and perioperative data of 42 patients were reviewed: 21 patients before (Femoral group) and 21 patients after the introduction of PENG block (PENG group) in clinical practice. Thirteen total hip arthroplasties (THA) and eight hemi arthroplasties (HA) were included in each group. Demographics were also comparable. The median, postoperative, morphine equivalent consumption at 48 hours was 10 [0-20] mg and 20 [0-50] mg in Femoral and PENG groups respectively (p = 0.458). No statistically significant differences were found in postoperative pain intensity, time to ambulation, incidence of morphine-related side effects, or length of hospital stay. The postoperative muscle strength of the quadriceps was greater in the PENG group than in the Femoral group (5/5 vs. 2/5, p = 0.001).<h4>Conclusion</h4>In the management of hip fractures, PENG block is not associated in our study with a significant change in postoperative morphine consumption, compared to femoral block. However, it does significantly improve the immediate mobility of the operated limb, making it appropriate for inclusion in enhanced recovery programs after surgery.
format	article
author	Céline Allard Emmanuel Pardo Christophe de la Jonquière Anne Wyniecki Anne Soulier Annibal Faddoul Eileen S Tsai Francis Bonnet Franck Verdonk
author_facet	Céline Allard Emmanuel Pardo Christophe de la Jonquière Anne Wyniecki Anne Soulier Annibal Faddoul Eileen S Tsai Francis Bonnet Franck Verdonk
author_sort	Céline Allard
title	Comparison between femoral block and PENG block in femoral neck fractures: A cohort study.
title_short	Comparison between femoral block and PENG block in femoral neck fractures: A cohort study.
title_full	Comparison between femoral block and PENG block in femoral neck fractures: A cohort study.
title_fullStr	Comparison between femoral block and PENG block in femoral neck fractures: A cohort study.
title_full_unstemmed	Comparison between femoral block and PENG block in femoral neck fractures: A cohort study.
title_sort	comparison between femoral block and peng block in femoral neck fractures: a cohort study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/bf8d304c3fdb47a2aaaec12fc35f5ba4
work_keys_str_mv	AT celineallard comparisonbetweenfemoralblockandpengblockinfemoralneckfracturesacohortstudy AT emmanuelpardo comparisonbetweenfemoralblockandpengblockinfemoralneckfracturesacohortstudy AT christophedelajonquiere comparisonbetweenfemoralblockandpengblockinfemoralneckfracturesacohortstudy AT annewyniecki comparisonbetweenfemoralblockandpengblockinfemoralneckfracturesacohortstudy AT annesoulier comparisonbetweenfemoralblockandpengblockinfemoralneckfracturesacohortstudy AT annibalfaddoul comparisonbetweenfemoralblockandpengblockinfemoralneckfracturesacohortstudy AT eileenstsai comparisonbetweenfemoralblockandpengblockinfemoralneckfracturesacohortstudy AT francisbonnet comparisonbetweenfemoralblockandpengblockinfemoralneckfracturesacohortstudy AT franckverdonk comparisonbetweenfemoralblockandpengblockinfemoralneckfracturesacohortstudy
_version_	1718375326378098688

Comparison between femoral block and PENG block in femoral neck fractures: A cohort study.

Ejemplares similares