Introduction:

the PENG block has been shown to offer effective analgesia in hip surgery. Traditional opioid analgesia is associated with high-impact side effects in the evolution of postoperative outcomes. We report the quality of postoperative analgesia in two settings: general anesthesia and spinal anesthesia plus regional anesthesia, showing similar efficacy and safety.

Material and methods:

60 consecutive patients were collected: group 1 general anesthesia plus PENG and group 2 spinal anesthesia plus PENG. Passive and active pain scores were recorded in the preoperative period, PICU, at 6, 12, 18, and 24 hours.

Results:

the mean pain score for both groups in the postoperative period was 2.0-1.0 on the VAS scale at 24 hours. 81.7% of the patients did not require additional analgesia to the basic analgesic scheme; the 18.3% of patients who required analgesic rescue were of the NSAID type; 70% of them were 12 hours after the placement of the PENG block. 95% of patients were satisfied with postoperative analgesia.

Conclusion:

PENG block is associated with a high analgesic success rate in hip surgery and a low incidence of complications; can be considered a safe alternative in the multimodal scheme.