Pericapsular Nerve Group Block of the Hip Joint After Arthroplasty
https://doi.org/10.23934/2223-9022-2022-11-3-525-530
Abstract
We report a case of postoperative pain relief in a patient after total cement arthroplasty of the right hip joint in the early postoperative period. Pericapsular nerve group block (PENG-block) of the hip joint was suggested to provide adequate pain relief and reduce the risk of postoperative complications. This clinical case shows an example of effective pain relief in a patient in the early postoperative period after reconstructive plastic restoration of the right hip joint, performed for a fracture of the femoral neck. Severe pain syndrome, restriction of movements, forced position and volume of surgical intervention are risk factors for the development of thromboembolic complications. According to the literature, the incidence of thromboembolic complications after total cemented hip arthroplasty varies from 9.3 to 20.7%. Our observation indicates that pericapsular block of the hip joint is an effective method of pain relief in the early postoperative period after total hip replacement.
About the Authors
S. V. Zhuravel
Department of Anesthesiology and Resuscitation no. 1, N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Sergey V. Zhuravel Doctor of Medical Sciences, Associate Professor of the Department of Anesthesiology, Resuscitation and Intensive Care, N.I. Pirogov Russian National Research Medical University, Head of the Scientific Department of Anesthesiology, N.V. Sklifosovsky Research Institute for Emergency Medicine
129090, Moscow, B. Sukharevskaya Sq., 3
E. Y. Bezverkhaya
Department of Anesthesiology and Resuscitation no. 1, N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Ekaterina Yu. Bezverkhaya Anesthesiologist-resuscitator
129090, Moscow, B. Sukharevskaya Sq., 3
E. A. Korotkova
Department of Anesthesiology and Resuscitation no. 1, N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Elena A. Korotkova Head of the Department of Anesthesiology
129090, Moscow, B. Sukharevskaya Sq., 3
A. M. Fayn
Department of Anesthesiology and Resuscitation no. 1, N.V. Sklifosovsky Research Institute for Emergency Medicine; A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Aleksey M. Fayn Doctor of Medical Sciences, Head of the Scientific Department of Emergency Traumatology of the Musculoskeletal System, N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department; Professor of the Department of Traumatology, Orthopedics and Disaster Medicine A.I. Yevdokimov Moscow State University of Medicine and Dentistry
129090, Moscow, B. Sukharevskaya Sq., 3
127473, Moscow, Delegatskaya St., 20 bld. 1
References
1. Broshyura dlya patsientov s endoprotezirovaniem tazobedrennogo sustava. Available at: https://gc-cmt.ru/content/broshyura-dlya-pacientovs-endoprotezirovaniem-tazobedrennogo-sustava [Accessed Nov 30, 2021]. (in Russ.)
2. Pascarella G, Costa F, Del Buno R, Pulitano R, Strumia A, Piliego C, et al. Impact of the pericapsular nerve group (PENG) block on postoperative analgesia and functional recocery following total hip arthroplasty: a randomized, observer-masked, controlled trial. Anaesthesia. 2021;76(11):1492–1498. PMID:34196965 https://doi.org/10.1111/anae.15536
3. Ferrata P, Carta S, Fortina M, Scipio D, Riva A, Di Giacinto S. Painful hip arthroplasty: definition. Clin Cases Mineral Bone Metab. 2011;8(2):19–22. PMID:22461810
4. Kurganskiy AV, Khrapov KN. Approaches too Post-operative Pain Relief During Total Knee and Hip Replacement. Messenger of Anesthesiology and Resuscitation. 2018;15(4):76–85. (In Russ.) https://doi.org/10.21292/2078-5658-2018-15-4-76-85
5. Dalury D, Lieberman J, MacDonald S. Current and innovative pain management techniques in total knee arthroplasty. J Bone Joint Surgery. 2011;93(20):1938–1943. PMID:22012532 https://doi.org/10.2106/JBJS.9320icl
6. Ovechkin AM. Postoperative pain: the state of problem and current trends in postoperative analgesia. Regional Anesthesia and Acute Pain Management. 2015;9(2):29–39 (in Russ.).
7. Shostak NA, Ryabkova AA, Savelyev VS, Malyarova LP. Gastrointestinal hemorrhages as complications of gastropathies associated with intake of nonsteroid anti-inflammatory drugs. Terapevticheskii arkhiv. 2003;78(5):70–73. (in Russ.).
8. Evseev MA. NPVP–indutsirovannye gastroduodenal’nye yazvy, oslozhnennye krovotecheniem. Lektsiya. Medical Journal of the Russian Federation. 2006;(15):1099–1107. (in Russ.).
9. Gelfand BR, Protsenko DN, Babayants AV, Karateev AE. Upper Gastrointestinal Tract Acute Bleeding: From Epidemiology to the Conservative Therapy Concept Formation. Infektsii v khirurgii. 2013;11(4):11–17.
10. Harirforoosh S, Asghar W, Jamali F. Adverse Effects of nonsteroidal antiinflammatory drugs: an update of gastrointestinal, cardiovascular and renal complicatons. J Pharm Pharm Sci. 2013;16(5):821–847. https://doi.org/10.18433/j3vw2f PMID:24393558
11. Sostres C, Gargallo C, Lanas A. Nonsteroidal anti-inflammatory drugs and upper and lower gastrointestinal mucosal damage. Arthritis Res Ther. 2013;15Suppl (Suppl 3):S3. PMID:24267289 https://doi.org/10.1186/ar4175
12. Maiden L, Thjodleifsson B, Seigal A, Bjarnason II, Scott D, Birgisson S, et al. Long-term effects of nonsteroidal anti-inflammatory drugs and cyclooxygenase-2 selective agents on the small bowel: a cross-sectional capsule enteroscopy study. Clin Gastroenterol Hepatol. 2007;5(9):1040–1045. PMID:17625980 https://doi.org/10.1016/j.cgh.2007.04.031
13. Adebayo D, Bjarnason I. Is non-steroidal anti-inflammatory drug (NSAID) enteropathy clinically more important than NSAID gastropathy? Postgrad Med J. 2006;82(965):186–191. PMID:16517800 https://doi.org/10.1136/pgmj.2005.039586
14. Zagrekov VI. Regional anesthesia for total hip arthroplasty. Regional Anesthesia and Acute Pain Management. 2013;7(4):5–13. (in Russ.).
15. Allard C, Pardo E, de La Jonquiere C, Wyniecki A, Soulier A, Faddoul A, et al. Comparison between femoral block and PENG block in femoral neck fractures: A cohort study. PLoS One. 2021;166(6):e0252716. PMID:34086782 https://doi.org/10.1371/journal.pone.0252716
16. Mazurov VI, Belyaeva IB. The Role of IL 6 in the Formation of the Pathogenetic Mechanisms of Rheumatoid Arthritis. Poliklinika. 2019;(3):42–47. (in Russ.).
17. Vargas-Schaffer G. Is the WHO analgesic ladder still valid? Twenty-four years of experience. Can Fam Physician. 2010;56(6):514–517. PMID:20547511
18. Karelov AE. Modern concepts of pain mechanisms. Russian Journal of Anaesthesiology and Reanimatology. 2020;(6):88–95. (In Russ.). https://doi.org/10.17116/anaesthesiology202006187
Review
For citations:
Zhuravel S.V., Bezverkhaya E.Y., Korotkova E.A., Fayn A.M. Pericapsular Nerve Group Block of the Hip Joint After Arthroplasty. Russian Sklifosovsky Journal "Emergency Medical Care". 2022;11(3):525-530. https://doi.org/10.23934/2223-9022-2022-11-3-525-530
Views:
681
Email this article 