부산대학교 도서관

We report the case of a patient with decompensated cirrhosis who underwent total hip arthroplasty under general anesthesia combined with pericapsular nerve group（PENG） block and lateral femoral cutaneous nerve block. A 49-year-old man with alcoholic cirrhosis（Child-Pugh classification C） presented with bilateral hip pain that had been present for a few months. He was diagnosed with bilateral femoral head necrosis, and right total hip arthroplasty was scheduled. PENG block and lateral femoral cutaneous nerve block were used in combination with general anesthesia, and good analgesia was obtained. Three months later, left total hip arthroplasty was also performed under the same anesthetic approach. The postoperative course was uneventful, and the patient was discharged three months after the operation without major complications. A combination of PENG block and lateral femoral cutaneous nerve block may be useful for total hip arthroplasty in patients with severe complications.