Evidence map›Paper›PMID 41869135›Full record

ArticleCureus2026

Combined Pericapsular Nerve Group (PENG) and Ilioinguinal-Iliohypogastric Blocks for Pediatric Pelvic Osteotomy: A Tailored Regional Anesthesia Approach.

Rayan Muawad, Abdullah AlDhuwaihy, Khalid Alanezi, Faisal Alshuwaier, Mohammed M AlRuwaili, Nawaf Faisal S Alsubaie, Mostafa Nagy

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Rayan MuawadPediatric Anesthesia, King Abdullah Specialist Children Hospital, Ministry of National Guard Health Affairs (MNGHA), Riyadh, SAU.
Abdullah AlDhuwaihyCollege of Medicine, King Saud University, Riyadh, SAU.
Khalid AlaneziCollege of Medicine, King Saud University, Riyadh, SAU.
Faisal AlshuwaierCollege of Medicine, King Saud University, Riyadh, SAU.
Mohammed M AlRuwailiCollege of Medicine, King Saud University, Riyadh, SAU.
Nawaf Faisal S AlsubaieCollege of Medicine, Majmaah University, Al-Majma'ah, SAU.
Mostafa NagyPediatric Anesthesia, King Abdullah Specialist Children Hospital, Ministry of National Guard Health Affairs (MNGHA), Riyadh, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The pericapsular nerve group (PENG) block is a regional anesthesia technique that targets the articular branches innervating the anterior hip capsule, offering effective analgesia with minimal motor blockade. While its utility in hip surgery is established, its solitary use in pediatric pelvic osteotomies leaves the cutaneous incision site uncovered. We report the case of a 21-month-old male with significant cardiopulmonary comorbidities undergoing a unilateral pelvic osteotomy. To minimize respiratory and hemodynamic risks associated with opioids, a multimodal, opioid-sparing analgesic strategy was implemented. This approach combined an ultrasound-guided PENG block with an ipsilateral ilioinguinal-iliohypogastric nerve block to ensure comprehensive coverage of both deep articular and superficial somatic pain. The intraoperative course was stable, and the patient demonstrated excellent postoperative analgesia with no requirement for rescue opioids. This case highlights that supplementing the PENG block with an ilioinguinal-iliohypogastric block provides a tailored, anatomical solution for pediatric pelvic osteotomy, offering a safe and effective regional anesthesia strategy for high-risk pediatric patients.

Indexed as

developmental dysplasia hip (ddh)iliohypogastric-ilioinguinal nerve blockpediatric-anesthesiapediatric regional anesthesiapericapsular nerve block (peng)ultrasound guided nerve block

Identifiers

PMID41869135
PMCPMC13001632

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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.