Bloqueo bilateral del grupo de nervios pericapsulares (PENG) como analgesia en cirugía de cadera infantil |
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| Institution: | 1. Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Badajoz, Badajoz, España;2. Servicio de Anestesiología y Reanimación, Hospital Vega Baja, Orihuela, Alicante, España;3. Servicio de Anestesiología y Reanimación, Hospital Universitario Virgen Macarena, Sevilla, España;1. Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Virgen de Valme, Sevilla, España;2. Medicina Comunitaria y Familia, Hospital Virgen de Valme, Sevilla, España;1. EDAIC, Departamento de Anestesiología y Reanimación, Hospital Universitario de Girona Dr. J. Trueta, Universidad de Girona, Girona, España;2. Division of Cardiology and Scientific Leader of the Anesthesiology, Perioperative Medicine and Surgical Research Group at Population Health Research Institute; Health Sciences and McMaster University, Hamilton, Canadá;1. Servicio de Anestesiología y Reanimación, Hospital Universitario Puerta del Mar, Cádiz, España;2. Servicio de Cirugía Pediátrica, Hospital Universitario Puerta del Mar, Cádiz, España |
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| Abstract: | Effective management and control of peri- and postoperative pain in hip surgery is essential in order to minimize the use of opioids and their adverse effects. Effective regional analgesia for hip pain is made particularly challenging by the complex innervation of the hip joint. Standard regional techniques can be associated with complications, including incomplete anesthesia, hypotension, or lower limb weakness. We present the case of a 5-year-old girl with a history of infantile cerebral palsy who underwent bilateral varus derotation osteotomy and adductor tenotomy due to paralytic dislocation. She received bilateral PENG block and femoral cutaneous nerve block - a simple technique that covers all the nerves involved in the sensory innervation of the joint capsule without the need for multiple injections. |
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| Keywords: | PENG block Hip surgery Analgesia Pain Pediatric surgery |
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