Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Background and Objectives: Effective analgesia is crucial in hip surgeries to facilitate patient positioning and enhance surgical outcomes. This study aims to compare the efficacy of the femoral nerve block (FNB) and pericapsular nerve group (PENG) block in providing analgesia during spinal anaesthesia in hip surgeries. Methods: In this prospective, randomised study, sixty patients undergoing elective hip surgery were randomly assigned to receive either FNB (n=30) or PENG block (n=30) before spinal anaesthesia. Pain levels were assessed using a Visual Analog Scale (VAS) during positioning, and the anaesthetist rated ease of positioning on a 5-point scale. The onset time of analgesia, motor block assessment, and patient satisfaction scores were also recorded. Statistical analyses were performed using SPSS, and p-values < 0.05 were considered significant. Results: The PENG group reported significantly lower VAS pain scores during positioning (2.3 ± 1.0) compared to the FNB group (4.0 ± 1.2) (p < 0.001). The ease of positioning was rated higher in the PENG group (4.6 ± 0.7) than in the FNB group (3.8 ± 0.9) (p < 0.001). The onset time of analgesia was faster in the PENG group (8.5 ± 2.3 minutes) compared to the FNB group (11.2 ± 3.0 minutes) (p < 0.01). Patient satisfaction scores were also higher in the PENG group (4.5 ± 0.6) versus the FNB group (3.6 ± 0.8) (p < 0.001). Motor weakness was observed in 20% of the FNB group compared to 6.67% in the PENG group (p = 0.071). Conclusion: The PENG block demonstrates superior efficacy over the FNB in terms of pain management, ease of positioning, quicker onset of analgesia, and higher patient satisfaction during hip surgeries requiring spinal anaesthesia. These findings suggest that the PENG block may be a preferred technique for providing effective analgesia in this surgical population.
How to cite this article:
R.P. Prashanth and C.N. Malathi. Femoral Nerve Block Versus Pericapsular Nerve Group Block for Positioning During Spinal Anaesthesia in Hip Surgeries: A Prospective, Randomised Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.191.195
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.191.195