Ultrasound-guided Pericapsular Nerve Group and Obturator Nerve Phenol Neurolysis for Refractory Inpatient Hip Cancer Metastasis Pain: a Case Report

Overview

Journal Braz J Anesthesiol

Specialty Anesthesiology

Date 2021 Mar 26

PMID 33766686

Citations 5

Authors

Marcio V Pimenta

Amanda T Nakamura

Hazem A Ashmawi

Joaquim E Vieira

Hermann Dos Santos Fernandes

Affiliations

Soon will be listed here.

Abstract

Introduction: Bone cancer metastasis may produce severe and refractory pain. It is often difficult to manage with systemic analgesics. Chemical neurolysis may be an effective alternative in terminally ill patients.

Case Report: Female terminally ill patient with hip metastasis of gastric cancer in severe pain. Neurolytic ultrasound-guided blocks of the pericapsular nerve group and obturator nerve were performed with 5% phenol. This led to satisfactory pain relief for 10 days, until the patient's death.

Discussion: This approach may be effective and safe as an analgesic option for refractory hip pain due to metastasis or pathologic fracture in terminally ill patients.

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Beyond the Pericapsular Nerve Group (PENG) Block: A Narrative Review.

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References

Mantyh P . Bone cancer pain: from mechanism to therapy. Curr Opin Support Palliat Care. 2014; 8(2):83-90. PMC: 4068714. DOI: 10.1097/SPC.0000000000000048. View

Nielsen T, Moriggl B, Soballe K, Kolsen-Petersen J, Borglum J, Bendtsen T . A Cadaveric Study of Ultrasound-Guided Subpectineal Injectate Spread Around the Obturator Nerve and Its Hip Articular Branches. Reg Anesth Pain Med. 2017; 42(3):357-361. DOI: 10.1097/AAP.0000000000000587. View

Christmas C, Crespo C, Franckowiak S, Bathon J, Bartlett S, Andersen R . How common is hip pain among older adults? Results from the Third National Health and Nutrition Examination Survey. J Fam Pract. 2002; 51(4):345-8. View

Romero A, Valdy G, Lemus A . Ultrasound-guided pericapsular nerve group (PENG) hip joint phenol neurolysis for palliative pain. Can J Anaesth. 2019; 66(10):1270-1271. DOI: 10.1007/s12630-019-01448-y. View

Ng T, Chan W, Peng P, Sham P, Sasaki S, Tsui H . Chemical Hip Denervation for Inoperable Hip Fracture. Anesth Analg. 2019; 130(2):498-504. DOI: 10.1213/ANE.0000000000004172. View