الفهرس 
Anatomy of the Pediatric Hip JointOnly 14 pages are availabe for public view
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Abstract
Surgeries involving hip joint in pediatric patients are associated with severe intraoperative and postoperative pain despite the use of systemic opioids. Caudal block is the most commonly used method of regional anesthesia in children to control intraoperative and postoperative pain in surgeries involving lower limbs. However, there has been many side effects for caudal block such as hypotension, urine retention, excessive motor block, technical failure, nausea, andvomiting which may limit its use. The fascia iliaca compartment block (FICB) was described in 1989. It remains a popular regional anesthetic technique for surgical procedures involving the hip joint and femur. Local anesthetic (LA) is injected proximally beneath the fascia iliaca to block the femoral nerve (FN), obturator nerve (ON), and lateral cutaneous nerve of the thigh (LCNT) simultaneously. The pericapsular nerve group (PENG) block was introduced to block the articular branches of the femoral, obturator, and accessory obturator nerves which provide sensory innervation to the hip. This regional anesthetic technique was described in 2018 for acute analgesia related to hip fractures. In this study, we investigate the use of two ultrasound-guided nerve blocks including PENG and fascia iliaca compartment block in pediatric hip surgeries. This study aims to compare the postoperative analgesic effect of ultrasound-guided pericapsular nerve group block (PENG) with ultrasound guided fascia iliaca compartment block in pediatric patients undergoing hip surgery. Primary outcome: total opioid consumption in the first 24 hours