Combined pericapsular nerve group and lateral femoral cutaneous nerve blocks for hip fracture in a polytraumatized patient-A case report

Juri Valoriani, Duccio Conti, Lara Gianesello, Vittorio Pavoni, Juri Valoriani, Duccio Conti, Lara Gianesello, Vittorio Pavoni

Abstract

Locoregional anesthetic techniques in hip fracture are significant in order to control pain, reduce postoperative opioid use, and perioperative adverse events. Pericapsular nerve group (PENG) block has been described and proved as an effective analgesic method for hip surgery as an alternative to other regional nerve blocks. The association of PENG and lateral femoral cutaneous nerve (LCFN) block can be performed to achieve skin and subcutaneous tissues analgesia or anesthesia. Direct anterior approach PENG block is considered a safe and effective anesthesia technique for total hip arthroplasty surgery. In this paper, we aim to describe a case report of a PENG and LFCN block successful association for anesthesia in a major trauma patient who undergone surgical percutaneous fixation of femoral neck fracture.

Keywords: Anesthesia; femoral neck surgery; ultrasound.

Conflict of interest statement

There are no conflicts of interest.

Copyright: © 2022 Saudi Journal of Anesthesia.

Figures

Figure 1
Figure 1
Sonoanatomy for PENG block (AIIS, anterior inferior iliac spine; IPE, iliopubic eminence; LA, local anesthetic; FA femoral artery; FV, femoral vein)
Figure 2
Figure 2
Sonoanatomy for LFCN block (LFCN, lateral femoral cutaneous nerve; LA, local anesthetic)

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