{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:18Z","timestamp":1740148638974,"version":"3.37.3"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T00:00:00Z","timestamp":1701993600000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Descrever e avaliar a acur\u00e1cia da t\u00e9cnica do bloqueio PENG realizado sem aux\u00edlio de ultrassonografia.<\/jats:p><jats:p>\n          M\u00e9todo\u2003S\u00e9rie de 40 infiltra\u00e7\u00f5es em pacientes com dor no quadril, em acompanhamento ambulatorial no grupo de cirurgia do quadril ou admitidos no pronto atendimento de um hospital na cidade de S\u00e3o Paulo. Utilizada a t\u00e9cnica de bloqueio nervoso pericapsular do quadril (PENG) guiado por estruturas anat\u00f4micas palp\u00e1veis da pelve e sem aux\u00edlio de ultrassonografia no posicionamento da agulha, usando o aparelho apenas para confer\u00eancia da localiza\u00e7\u00e3o correta ap\u00f3s pun\u00e7\u00e3o n\u00e3o guiada.<\/jats:p><jats:p>\n          Resultados\u2003Nos 40 quadris infiltrados em 35 pacientes com idade m\u00e9dia de 59,2 anos, obtivemos um \u00edndice de acerto de 85%. Dos casos mal posicionados 71,4% ocorreram nas primeiras 13 aplica\u00e7\u00f5es e 28,6% nas 27 aplica\u00e7\u00f5es subsequentes. Em todos os pacientes o feixe neurovascular estava situado no ter\u00e7o medial da marca\u00e7\u00e3o realizada \u00e0 caneta e mesmo nos casos em que houve falha da localiza\u00e7\u00e3o da agulha havia dist\u00e2ncia segura ao feixe neurovascular. Obtivemos apenas 1 caso de efeito adverso, onde ocorreu apraxia do nervo femoral com melhora espont\u00e2nea em 2 dias.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003O bloqueio PENG n\u00e3o guiado \u00e9 uma t\u00e9cnica vi\u00e1vel e pode ser realizada por um m\u00e9dico que j\u00e1 possui conhecimento na aplica\u00e7\u00e3o, em servi\u00e7os onde n\u00e3o haja disponibilidade do aparelho de ultrassonografia.<\/jats:p>","DOI":"10.1055\/s-0043-1776909","type":"journal-article","created":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T23:50:48Z","timestamp":1702079448000},"page":"e932-e938","source":"Crossref","is-referenced-by-count":0,"title":["Acur\u00e1cia do bloqueio dos nervos pericapsulares (PENG) do quadril sem aux\u00edlio de ultrassonografia em pacientes com dor no quadril"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9524-8871","authenticated-orcid":false,"given":"Giancarlo Cavalli","family":"Polesello","sequence":"additional","affiliation":[{"name":"M\u00e9dico Professor Adjunto Livre Docente da Faculdade de Ci\u00eancias M\u00e9dicas da Santa Casa de S\u00e3o Paulo (FCMSCSP), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9 Sanches","family":"Sa\u00fa","sequence":"additional","affiliation":[{"name":"M\u00e9dico estagi\u00e1rio do Grupo de Quadril do Departamento de Ortopedia e Traumatologia da Irmandade Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo, SP, S\u00e3o Paulo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Rudelli","sequence":"additional","affiliation":[{"name":"M\u00e9dico assistente do N\u00facleo de Apoio \u00e0 Pesquisa em An\u00e1lise do Movimento (NAPAM), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walter Ricioli","family":"Junior","sequence":"additional","affiliation":[{"name":"M\u00e9dico assistente do N\u00facleo de Apoio \u00e0 Pesquisa em An\u00e1lise do Movimento (NAPAM), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nayra Deise dos Anjos","family":"Rabelo","sequence":"additional","affiliation":[{"name":"Fisioterapeuta, Professora Doutora N\u00facleo de Apoio \u00e0 Pesquisa em An\u00e1lise do Movimento (NAPAM), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,12,8]]},"reference":[{"issue":"08","key":"ref1","first-page":"859","article-title":"Pericapsular Nerve Group (PENG) Block for Hip Fracture","volume":"43","author":"L Gir\u00f3n-Arango","year":"2018","journal-title":"Reg Anesth Pain Med"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.jclinane.2019.04.037","article-title":"Pericapsular Nerve Group (PENG) block for perioperative pain control in hip arthroscopy","volume":"59","author":"S 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