The Pericapsular Nerve Group (PENG) Block on Total Hip Replacement Operation

Soedarso, Doddy Timboel and Soerodjotanojo, Simson S. and Simanjuntak, Erica Gilda Misnawati (2024) The Pericapsular Nerve Group (PENG) Block on Total Hip Replacement Operation. Galore International Journal of Health Sciences and Research, 9 (4). pp. 109-112. ISSN 2456-9321

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Abstract

Background: In Total Hip Replacement (THR) surgery, the term PENG block refers to the use of regional anesthesia or block anesthetic which aims to reduce pain during and after surgery. "Peng block" is an abbreviation for "Peripheral Nerve Block", which is an anesthetic procedure carried out by injecting a local anesthetic around certain nerves to numb certain areas of the body, in this case, around the hips and thighs. Case Report: A 53-year-old female patient, ASA III, was planned for left Total Hip Replacement (THR) surgery. The patient had an initial complaint of pain in the right hip since approximately 5 months ago. Patients with cardiovascular comorbidities have frequent PVCs, patients with respiratory emphysematous lung and bilateral pleural effusion, and patients also suffer from osteoarthritis. From the patient's EKG, Frequent PVC results were found and Echocardiography results showed normal heart chamber dimensions, Mild Aorta Regurgitation, Mild Tricuspid regurgitation with low probability of Pulmonary Hypertension, Normal Left Ventricle (LV) and Right Ventricle (RV) function, Normal LV diastolic Function, Ejection Fraction BP 50.5%, TAPSE 21 mm, eRAP 8 mmHg. Conclusion: Pericapsular Nerve Group (PENG) block can be an option in THR surgery, where it is expected to contribute to FN, ON, and AON anesthesia, and therefore, can provide analgesic coverage for pelvic surgery while also reducing the opioid requirements of patients with THR surgery thereby reducing the side effects of Opioids that can occur can also provide comfort to patients when starting physiotherapy Keywords: total hip replacement, peng block, anesthetic, hip

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