Acil serviste kal�a k�r��� tan�s� alan hastalarda ultrasonografi ile perikaps�ler sinir grubu blo�unun etkinli�i

G�ll�p�nar, Birdal; Sa�lam, Caner; �nl�er, Erden Erol; Ayvat, P�nar; �zt�rk, Kemal; G�l, Mehmet; Tandon, Shikha

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Turkish Journal of Trauma and Emergency Surgery Acil serviste kal�a k�r�� tan�s� alan hastalarda ultrasonografi ile perikaps�ler sinir grubu blo�unun etkinli�i [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2022; 28(6): 832-838 | DOI: 10.14744/tjtes.2022.67817

Acil serviste kal�a k�r�� tan�s� alan hastalarda ultrasonografi ile perikaps�ler sinir grubu blo�unun etkinli�i

Birdal G�ll�p�nar¹, Caner Sa�lam¹, Erden Erol �nl�er¹, P�nar Ayvat², Kemal �zt�rk³, Mehmet G�l³, Shikha Tandon⁴
¹�zmir Bozyaka E�itim ve Ara�t�rma Hastanesi, Acil T�p Klini�i, �zmir
²�zmir Demokrasi �niversitesi T�p Fak�ltesi, Anastezi ve Reanimasyon Anabilim Dal�, �zmir
³Aksaray �niversitesi T�p Fak�ltesi, Acil T�p Anabilim Dal�, Aksaray
⁴Parexel International Ltd. Chandigarh-India

AMA�: Kal�a k�r�klar� acil serviste en s�k g�r�len k�r�klar aras�nda yer al�r ve �ok a�r�l�d�r. Perikaps�ler sinir grubu blo�u (PENG), total kal�a artrop-lastilerinde analjezi i�in geli�tirilmi� yeni bir b�lgesel anestezi tekni�idir. Acil serviste kal�a k�r�� olan hastada a�r�y� azaltmak i�in kullan�lan PENG blo�unun etkinli�ini belirlemeyi ama�lad�k.
GERE� VE Y�NTEM: Bu tek merkezli randomize ileriye y�nelik �al��ma acil serviste ger�ekle�tirildi. �al��maya al�nan hastalar, i�lemi yapacak per-sonelin uygunlu�una g�re se�ildi. Randomizasyon i�in kapal� zarf sistemi kullan�ld�.
BULGULAR: Otuz dokuz hasta ile istatistiksel analiz yap�ld� (PENG grubunda 18 hasta, kontrol grubunda 21 hasta). Hastalar�n 13�� (%33.3) kad�n, 26�s� (%66.7) erkekti. Ortalama ya� 75.3 idi. PENG grubunda i�lem sonras� istirahatte 30. dakika, 2., 6. ve 24. saat hastalar�n ortalama NRS skorlar� 1.78�1.83, 0.00�0.00, 0.00�0.00 ve 1.28�1.41 idi. Kontrol grubunda ise s�ras�yla 3.38�1.86, 0.05�0.22, 2.86�2.37 ve 4.95�1.47 idi. PENG gru-bunda baca��n 15� elevasyonunda 30. dakika, 2., 6. ve 24. saatte hastalar�n ortalama NRS skorlar� 3.06�1.80, 0.06�0.24, 0.22�0.43 ve 2.44�1.50 ve 5.24�. Kontrol grubunda ise s�ras�yla 1.81, 1.05�0.92, 4.29�2.35 ve 7.14�1.24.
TARTI�MA: PENG blok kal�a k�r�� olan hastalarda pratik bir se�enek olarak a�r�y� ve sistemik analjezik ihtiyac�n� azaltabilir.

Anahtar Kelimeler: Acil uzman�, kal�a k�r��, PENG blo�u, ultrasonografi.

Effectiveness of pericapsular nerve group block with ultrasonography in patients diagnosed with hip fracture in the emergency department

Birdal G�ll�p�nar¹, Caner Sa�lam¹, Erden Erol �nl�er¹, P�nar Ayvat², Kemal �zt�rk³, Mehmet G�l³, Shikha Tandon⁴
¹Department of Emergency Medicine, �zmir Bozyaka Training and Resarch Hospital, �zmir-Turkey
²Department of Anesthesiology and Reanimation, �zmir Democracy University Faculty of Medicine, �zmir-Turkey
³Department of Emergency Medicine, Aksaray University Faculty of Medicine, Aksaray-Turkey
⁴Parexel International Ltd. Chandigarh-India

BACKGROUND: Hip fractures (HF) are among the most common fractures present in the emergency department and are very painful. Pericapsular nerve group block (PENG) is a new regional anesthesia technique developed for analgesia in total hip arthroplas-ties. We aimed to determine the effectiveness of PENG block used to reduce pain in patients with HF in the emergency department.
METHODS: This single-center, randomized, and prospective study was carried out in the emergency department. The patients in-cluded in the study were selected according to the suitability of the personnel who will perform the procedure. The sealed envelope system was used for randomization.
RESULTS: Statistical analysis was performed with 39 patients (18 patients in the PENG group, 21 patients in the control group). Thir-teen (33.3%) of the patients were female and 26 (66.7%) were male. The mean age was 75.3. At rest post-procedure, the mean Numeric Rating Scale (NRS) scores of the patients at the 30th min, 2nd, 6th, and 24th h were 1.78�1.83, 0.00�0.00, 0.00�0.00, and 1.28�1.41 in the PENG group. On the other hand, it was 3.38�1.86, 0.05�0.22, 2.86�2.37, and 4.95�1.47 in the control group, respectively. The mean NRS scores of the patients at 15� elevation of the leg at the 30th min, 2nd, 6th, and 24th h were 3.06�1.80, 0.06�0.24, 0.22�0.43, and 2.44�1.50 in the PENG group and it was 5.24�1.81, 1.05�0.92, 4.29�2.35, and 7.14�1.24 in the control group, respectively.
CONCLUSION: PENG block can reduce pain and the need for systemic analgesics as a practical option in patients with HF.

Keywords: Emergency physician, hip fracture, pericapsular nerve group block, ultrasonography.

Birdal G�ll�p�nar, Caner Sa�lam, Erden Erol �nl�er, P�nar Ayvat, Kemal �zt�rk, Mehmet G�l, Shikha Tandon. Effectiveness of pericapsular nerve group block with ultrasonography in patients diagnosed with hip fracture in the emergency department. Ulus Travma Acil Cerrahi Derg. 2022; 28(6): 832-838

Sorumlu Yazar: Caner Sa�lam, T�rkiye
Makale Dili: �ngilizce

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H�zl� Arama

Acil serviste kal�a k�r��� tan�s� alan hastalarda ultrasonografi ile perikaps�ler sinir grubu blo�unun etkinli�i

Effectiveness of pericapsular nerve group block with ultrasonography in patients diagnosed with hip fracture in the emergency department

Acil serviste kal�a k�r�� tan�s� alan hastalarda ultrasonografi ile perikaps�ler sinir grubu blo�unun etkinli�i