Work

Perioperative analgesia with combined Pericapsular Nerve Group (PENG) and lateral femoral cutaneous nerve blocks in pediatric femoral neck surgery: a two-case report

Year: 2026

Type: article

Abstract: BACKGROUND: The importance of regional anesthesia techniques is increasing as part of multimodal analgesia strategies for managing postoperative pain in pediatric hip and femur surgeries. CASE PRESENTATION: We aim to present two cases, aged 10 years and 18 months, scheduled for surgery due to femoral neck fractures. As part of multimodal pain management, ultrasound-guided PENG + LFCN blocks were performed in both cases. Postoperative pain was assessed using VAS and FLACC scales. CONCLUSIONS: Our observations in these two cases suggest that the combined administration of PENG and LFCN blocks may serve as a valuable adjunctive strategy in the multimodal analgesia management of pediatric femoral neck fractures. Nevertheless, further large-scale clinical studies are warranted to more clearly delineate the efficacy and safety profile of this combination in routine clinical practice.

Source: BMC Anesthesiology

DOI: 10.1186/s12871-026-03899-5

Authors: Özge Pekşen Kızılışık, Halil Kızılışık

Institution: Kartal Koşuyolu High Specialization Training and Research Hospital

Language: English

Topic: Anesthesia and Pain Management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,190