Quality of recovery after pericapsular nerve group (PENG) block for primary total hip arthroplasty under spinal anaesthesia: a randomised controlled observer-blinded trial
Primary resultResult — go to the resultMedian difference 26 95% CI 18–31Authors' conclusion
Adding a PENG block to a multimodal analgesia regimen that includes paracetamol and celecoxib improves the quality of recovery and reduces opioid requirements for patients undergoing primary total hip arthroplasty under spinal anaesthesia.
Study context
- Population
- Patients undergoing primary total hip arthroplasty under spinal anaesthesiaincluded in the analysis
- Participants
- 112 patients
- Comparison
- PENG block vs no block
- PENGn = 56
- No blockn = 56reference
- Primary endpoint
- Quality of recovery (QoR-15 questionnaire)
- Follow-up
- 24 h
Methodological detailsobserver-blinded, single-centre, superiority
- Observer-blinded
- Single-centre
- Superiority
Primary result
As reported in the abstract
Median difference
26
95% CI 18–31
P < 0.001
By group
PENG
132
median · IQR 116–138
No block
103
median · IQR 97–112
PENG vs No block
median difference 26 (95% CI 18–31); P < 0.001
Further findings
QoR-15 · 48 h
- Higher in the PENG group
Opioid use · 24 and 48 h postoperatively
- Significantly lower in the PENG group
Pain score, distance to ambulation, anti-emetic use · any time point
- No significant differences
Safety
PENG block-related complications
- None observed
- 0
Original publication
Quality of recovery after pericapsular nerve group (PENG) block for primary total hip arthroplasty under spinal anaesthesia: a randomised controlled observer-blinded trial. Br J Anaesth. Published 22 March 2023. doi:10.
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