Abstract

Total hip arthroplasty (THA) has become one of the most common elective orthopedic surgical procedures performed. The postoperative period for THA is associated with severe pain. Severe pain can lead to increased opioid consumption, delayed ambulation, and delayed recovery, which may increase hospital length of stay and increase costs. This can be alleviated by lower peripheral regional anesthesia techniques such as the femoral nerve block (FNB) and the fascia iliac compartment block (FICB). These are the conventional approaches for effective opioid-sparing commonly administered for THA. Nonetheless, FNB and FICB may cause quadriceps motor weakness, and FICB may not provide adequate analgesia in the obturator and accessory obturator nerves. The pericapsular nerve group (PENG) block is a novel approach to reduce pain postoperatively and only blocks sensory innervation of the anterior hip capsule. The sensory nerves blocked include the femoral, obturator, and accessory obturator. Ultrasonography is used and an 80 mm echogenic needle is inserted between the muscular fascia of the psoas tendon and pubic ramus, and this area is injected with local anesthetic.

How do postoperative outcomes after receiving a PENG block for patients having THA compare to the more conventional approaches?

Author Details

Josefina Munoz, BSN, RN and Lisa Herbinger, DNP, CRNA

Sigma Membership

Non-member

Lead Author Affiliation

Samford University, Birmingham, Alabama, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Case Study/Series

Research Approach

Translational Research/Evidence-based Practice

Keywords:

PENG Block, Total Hip Arthroplasty, Anesthesia Techniques

Advisor

Herbinger, Lisa

Degree

Doctoral-Other

Degree Grantor

Samford University

Degree Year

2023

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2023-02-13

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