Ultrasound-guided Interscalene versus Pericapsular Nerve Group (PENG) Block in Shoulder Surgery - Randomized Controlled Study | ||
| Ain-Shams Journal of Anesthesiology | ||
| Volume 17, Issue 1, January 2025, Pages 1-6 PDF (359.98 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asja.2024.253711.1034 | ||
| Authors | ||
| MERVE YAZICI KARA1; ONUR KOYUNCU2; ILKE DOLGUN* 3 | ||
| 1Department of Anesthesiology and Reanimation, Kocaeli City Hospital, Kocaeli, Istanbul, TURKEY. | ||
| 2Department of Anesthesiology and Reanimation, Mustafa Kemal University, Tayfur Ata Sökmen Medical Faculty, Hatay, Istanbul, TURKEY. | ||
| 3Department of Anesthesiology and Reanimation, Istınye Unıversıty Gazıosmanpasa Medıcalpark Hospıtal, Istanbul, TURKEY. | ||
| Abstract | ||
| Background: This study was conducted to determine whether Pericapsular Nerve Group (PENG) block is comparable to interscalene block in providing postoperative analgesia after shoulder surgery. Patients over 18 years of age, ASA 1-2, and undergoing elective shoulder surgery were included in the study. After general anesthesia, patients were divided into Interscalene and Pericapsular Nerve Block Groups. Analyzed parameters were: age; gender; ASA grade; presence of additional disease; total anesthesia time; total surgery time; duration of block application; presence of motor block and, if any, return time of motor block; time of first additional analgesic administration; satisfaction at discharge; visual pain scores (VAS) at 10 minutes, and at the first, fourth, eighth, twelfth, sixteenth, twentieth, twenty fourth hour at rest and with movement; Ramsey sedation score; momentary and total tramadol amount; additional analgesia need; and complications. Results: Forty patients were recruited with a mean age of 58.6±20.1 years. A significantly shorter pain-free period and lower satisfaction levels were observed in the PENG group (both p<0.05). There was no significant difference between PENG and interscalene block in terms of resting and moving VAS values up to 16 hours, but at the sixteenth hour, both resting and moving VAS values were significantly higher in the PENG group. Conclusion: PENG block was as effective as interscalene block in providing postoperative analgesia but was less acceptable to patients. | ||
| Keywords | ||
| Interscalene block; Pericapsular Nerve Group (PENG) Block; Shoulder; Pain; Ultrasound | ||
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