Evidence map›Paper›PMID 38028113›Full record

ArticleAnesthesiology and pain medicine2023

The Analgesic Effects of Preemptive Ultrasound-Guided Pericapsular Nerve Group Block in Comparison with Erector Spinae Plane Block in Elderly Undergoing Hip Arthroplasty: A Randomized Controlled Trial.

Marwa Mohamed Medhat, Alshaimaa Abdel Fattah Kamel, Dina Abdelhameed Elsadek Salem, Sherif A Alagamy, Heba M Fathi

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Anesthesiology and pain medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06821516 (Comparison of Analgesic Effectiveness Between Pericapsular Nerve Group), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06821516 narecruitingnot on this mapstarted 2025, after this paper: background citation

Comparison of Analgesic Effectiveness Between Pericapsular Nerve Group (PENG) Block and Lumbar Erector Spinae Plane Block in Patients Undergoing Total Hip Arthroplasty With Spinal Anesthesia: a Randomized Controlled Trial

TypeinterventionalSponsorBaşakşehir Çam & Sakura City HospitalRan2025 to 2026Enrolled52ConditionsOpioid Consumption, Postoperative, Pain, Postoperative, Nerve Block, PENG BlockArmsEvaluation of the postoperative analgesic effectiveness of PENG block in participants undergoing total hip arthroplasty under spinal anesthesia, Evaluation of the postoperative analgesic effectiveness of lumbar erector spinae block in participants undergoing total hip arthroplasty under spinal anesthesia
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pericapsular nerve group block for total hip arthroplasty: A systematic review.The Journal of international medical research · 2026
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Marwa Mohamed MedhatDepartment of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Zagazig University, Alsharkia, Egypt.ORCID https://orcid.org/0000-0003-0949-8872
Alshaimaa Abdel Fattah KamelDepartment of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Zagazig University, Alsharkia, Egypt.ORCID https://orcid.org/0000-0002-8102-210X
Dina Abdelhameed Elsadek SalemDepartment of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Zagazig University, Alsharkia, Egypt.ORCID https://orcid.org/0000-0002-8833-8166
Sherif A AlagamyDepartment of orthopedic, Faculty of Medicine, Zagazig University, Alsharkia, Egypt.ORCID https://orcid.org/0000-0002-0430-2650
Heba M FathiDepartment of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Zagazig University, Alsharkia, Egypt.
Zagazig University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Perioperative pain management strategies in the elderly undergoing hip arthroplasty need special and safe preemptive care. Objectives: The primary aim of this study was to compare the analgesic effects of preemptive ultrasound-guided pericapsular nerve group (PENG) block and lumbar erector spinae plane block (L-ESPB) in the elderly undergoing hip arthroplasty. The time to the first postoperative rescue analgesia was measured. The secondary aim was to assess the ease of spinal positioning (EOSP), onset of sensory block, block performance time, and patient satisfaction. Methods: Before positioning for spinal anesthesia, 69 elderly patients undergoing hip arthroplasty were randomized into three groups (n = 23 per group). The first intervention group received ultrasound-guided PENG block with 20 mL bupivacaine 0.25%; the second intervention group received ultrasound-guided L-ESPB using the same dose of bupivacaine. In the control group, patients received spinal anesthesia without any block. Results: The time to first postoperative rescue analgesic (morphine) was significantly prolonged in the PENG group (13.3 ± 3.5 h) compared to the L-ESPB (9.5 ± 2.3 h) and control (2.6 ± 0.4 h) groups. The EOSP score was significantly higher in the PENG group compared to the L-ESPB and control groups (P < 0.001). The block performance time and oneset of the sensory block were significantly shorter in the PENG group compared to the L-ESPB group. The highest patient satisfaction scores were observed in the PENG group. Conclusions: Preemptive pericapsular nerve group block postponed the need for postoperative analgesia and eased spinal positioning compared to L-ESPB in the elderly undergoing hip arthroplasty.

Indexed as

Elderly.Hip ArthroplastyLumbar Erector Spinae Plane BlockPreemptive Pericapsular Nerve Group Block

Identifiers

PMID38028113
PMCPMC10664163
OpenAlexW4386415814

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.