Case Reports | Challenge Journal of Perioperative Medicine

Pericapsular nerve group (PENG) block as a sole anesthetic method for malignant soft tissue excision

Ela Nur Medetoglu, Veysel Koksal, Mehmet Akif Yilmaz, Elif Oral Ahiskalioglu
Ela Nur Medetoglu iD * Department of Anesthesiology and Reanimation, Atatürk University, Faculty of Medicine, Erzurum, Türkiye
Veysel Koksal iD Department of Anesthesiology and Reanimation, Atatürk University, Faculty of Medicine, Erzurum, Türkiye
Mehmet Akif Yilmaz iD Department of Anesthesiology and Reanimation, Atatürk University, Faculty of Medicine, Erzurum, Türkiye
Elif Oral Ahiskalioglu iD Department of Anesthesiology and Reanimation, Atatürk University, Faculty of Medicine, Erzurum, Türkiye

DOI: https://doi.org/10.20528/cjpm.2023.01.005
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Abstract


Since its first description by Philippe WH Peng in 2018, the Pericapsular Nerve Group (PENG) block, a novel regional anesthetic procedure, has been gaining in popularity. In order to provide appropriate analgesia, an ultrasound-guided local anesthetic injection around the hip joint is performed.

We presented, in this case, the successful management of the PENG block for surgical anesthesia in the excision of a malignant soft tissue tumor in the proximal tibia of a 73-year-old female patient. Adequate sensory and motor blocks were obtained, allowing a 70-minute surgery without using additional analgesics. Postoperative pain scores were low, and the patient was discharged without complications.


Keywords


pericapsular nerve group block; surgical anesthesia; high risk patient

References


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