Combination of Lumbar Erector Spinae Plane Block (LESP) and Pericapsullar Nerve Group (PENG) block in hip surgery

Subsequently, however, an insufficient sensorial blockade of the medial part of the thigh (innervated by the obturator nerve) was reported in patients undergoing L-ESPB in hip surgery, and we also found similar findings in our clinic [3]. The patients received 1000 mg paracetamol every 6 h and patient controlled analgesia (PCA) with fentanyl. Case Age Sex ASA status Pathology Opioid consumption Pain scores at 1, 2, 4, 8, 12, 24 h respectively 1 86 F IV Right FNF 80 μg fentanyl with PCA (8 mg morphine equivalent) 0, 0, 0, 1, 1, 0 2 96 M IV Left IFF 70 μg fentanyl with PCA (7 mg morphine equivalent) 0, 0, 0, 2, 2, 0 3 72 M III Right IFF 60 μg fentanyl with PCA (6 mg morphine equivalent) 0, 0, 2, 3, 1, 0 Table 1 Patient characteristics, analgesic requirements and pain scores.