Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Badajoz, Badajoz, Spain.
Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Badajoz, Badajoz, Spain.
Rev Esp Anestesiol Reanim (Engl Ed). 2022 Oct;69(8):502-505. doi: 10.1016/j.redare.2021.05.017. Epub 2022 Sep 7.
Effective management and control of peri- and postoperative pain in hip surgery is essential in order to minimize the use of opioids and their adverse effects. Effective regional analgesia for hip pain is made particularly challenging by the complex innervation of the hip joint. Standard regional techniques can be associated with complications, including incomplete anesthesia, hypotension, or lower limb weakness. We present the case of a 5-year-old girl with a history of infantile cerebral palsy who underwent bilateral varus derotation osteotomy and adductor tenotomy due to paralytic dislocation. She received bilateral PENG block and femoral cutaneous nerve block-a simple technique that covers all the nerves involved in the sensory innervation of the joint capsule without the need for multiple injections.
髋关节手术围术期疼痛的有效管理和控制对于减少阿片类药物的使用及其不良反应至关重要。髋关节复杂的神经支配使得髋关节疼痛的有效区域镇痛特别具有挑战性。标准的区域技术可能会引起并发症，包括麻醉不全、低血压或下肢无力。我们报告了一例 5 岁女孩的病例，该女孩患有脑瘫，因麻痹性脱位而行双侧内翻旋截骨术和内收肌切断术。她接受了双侧 PENG 阻滞和股皮神经阻滞——一种简单的技术，可覆盖关节囊感觉神经支配所涉及的所有神经，而无需多次注射。
