Use and Clinical Relevancy of Pericapsular Nerve Block (PENG) in Total Hip Arthroplasty: A Systematic Review and Meta-analysis.

Este estudio ha sido identificado como potencialmente de alto impacto. La métrica de alto impacto de OE, basada en la inteligencia artificial, estima la influencia que puede tener un artículo integrando señales procedentes tanto de la revista en la que se publica como del contenido científico del propio artículo. Desarrollado mediante el procesamiento del lenguaje natural más avanzado, el modelo de Alto Impacto de OE predice con mayor precisión el futuro rendimiento de las citas de un estudio que el factor de impacto de la revista por sí solo. Esto permite reconocer antes las investigaciones clínicamente significativas y ayuda a los lectores a centrarse en los artículos con más probabilidades de configurar la práctica futura.

Resumen del estudio

Twelve studies, including 705 patients undergoing total hip arthroplasty (THA), were included in this systematic review and meta-analysis comparing the pericapsular nerve group (PENG) block versus no block, placebo/sham block, or other analgesic techniques such as fascia iliaca block (FIB) or periarticular infiltration (PAI). Pooled outcomes of interest included opioid consumption during the first 24 hours, postoperative pain scores at rest and during movement at various intervals, block performance time, sensory and motor assessments, quadriceps weakness, incidence of postoperative falls, time to first analgesic request, complications related to the block and opioids, patient satisfaction, length of stay in the post-anesthesia care unit (PACU) and hospital, and functional and quality of life outcomes. The pooled results demonstrated that the PENG block significantly decreased 24-hour oral morphine milligram equivalent consumption by a mean difference of 3.75 mg but had a modest reduction in dynamic pain score only at 24 hours postoperatively. The main findings suggest that while PENG block reduces opioid consumption, its impact on pain scores and other clinical outcomes may not be clinically significant enough to recommend it as the best practice for pain management in THA.