Bloqueo PENG para prótesis de cadera

Introduction: PENG block has emerged as a promising technique for pain control in hip replacements. Objective: To determine the analgesic results of the technique based on spinal anesthesia and PENG block, in patients undergoing hip replacement, in a high complexity center.
Methods: Prospective observational study, in one year patients submitted to hip replacement were included, whose anesthetic technique consisted of spinal anesthesia and PENG block in a high complexity center. The analysis was performed by descriptive statistics methods; using the statistical package SPSSv.26 (Inc, Chicago, IL). Results: 28 patients included, the median age was 76.5 years (IQR: 66.7-84.5), 16 (57.1%) women. They presented a median static pain scale of 2.5/10 postoperative hours and 3/10 dynamic pain, and a postoperative week median static pain of 1/10 and 1/10 dynamic pain. Nine patients (32.1%) required postoperative opioid analgesia. The median number of days of postoperative opioid requirement was zero days (IQR: 0 – 1.75). No patient presented nausea or vomiting, pruritus, urinary retention, or respiratory depression.
Conclusion: In our patients with PENG block, adequate perioperative pain control and a reduction in postoperative opioid requirements were evidenced.