Ultrasound-guided pericapsular nerve group block versus caudal epidural block for postoperative pain management in pediatric hip surgery: A randomized clinical trial.

ABSTRACT:

Introduction

Optimal pain control after pediatric hip surgery enhances recovery, minimizes opioid needs, and improves comfort. The pericapsular nerve group (PENG) block, a unique regional intervention, has advantages over the standard caudal epidural block (CEB). This study compares the analgesic efficacy of ultrasound-guided PENG and CEB blocks in children having hip surgery.

Methods

This study included 80 pediatric patients, aged 1 to 7 years, who received general anesthesia for hip surgery. Patients were randomly allocated to receive either a PENG block (Group P) using 0.5 mL/kg of 0.25% bupivacaine, or a CEB (Group C) using equivalent bupivacaine volume. The primary outcome was postoperative pain assessed by the FLACC scale at predefined timepoints. Secondary measured ou

SUBMITTER: Amin SR 

PROVIDER: S-EPMC12811085 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature