Is pericapsular nerve group block superior to other regional analgesia techniques following total hip arthroplasty? a systematic review and network meta-analysis
Authors' conclusion
PENGB is more likely to reduce the incidence of quadriceps motor block and PONV in patients undergoing THA, but PENGB + PLAI is superior to other regional analgesia techniques (PLAI, PENGB, fascia iliaca compartment block, and quadratus lumborum block) in improving postoperative pain and shortening the length of hospital stay.
Study context
- Population
- Patients undergoing total hip arthroplasty (THA)
- Participants
- 766 patients · 11 randomized controlled trials (RCTs)
- Comparison
- PENG block vs other regional analgesia techniques after THA
- Outcome
- Resting pain scores
- Follow-up
- 6 h after surgery
Methodological detailsCINeMA risk of bias assessment, sensitivity and subgroup analyses
- CINeMA risk of bias assessment
- Sensitivity and subgroup analyses
Pooled result
As reported in the abstract
Postoperative resting and movement pain scores within 24 h · within 24 h
- Pericapsular nerve group block (PENGB) + periarticular local anesthetic infiltration (PLAI) significantly more effective than other treatments; its SUCRA lowest
Further pooled results
Opioid consumption within 24 h and hospital LOS
- PENGB + PLAI ranked best in reducing opioid consumption and hospital LOS
Safety
- PENGB had significantly lower incidence of quadriceps motor block and postoperative nausea and vomiting (PONV)
Original publication
Is pericapsular nerve group block superior to other regional analgesia techniques following total hip arthroplasty? a systematic review and network meta-analysis. Perioper Med (Lond). Published 4 October 2024. doi:10.
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