Pericapsular Nerve Group (PENG) Block for Hip Fracture

Reg Anesth Pain Med. 2018 Nov;43(8):859-863. doi: 10.1097/AAP.0000000000000847.

Abstract

Fascia iliaca block or femoral nerve block is used frequently in hip fracture patients because of their opioid-sparing effects and reduction in opioid-related adverse effects. A recent anatomical study on hip innervation led to the identification of relevant landmarks to target the hip articular branches of femoral nerve and accessory obturator nerve. Using this information, we developed a novel ultrasound-guided approach for blockade of these articular branches to the hip, the PENG (PEricapsular Nerve Group) block. In this report, we describe the technique and its application in 5 consecutive patients.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anesthetics, Local / administration & dosage
  • Autonomic Nerve Block / methods*
  • Female
  • Femoral Nerve / diagnostic imaging*
  • Femoral Nerve / drug effects
  • Hip Fractures / diagnostic imaging*
  • Hip Fractures / surgery
  • Humans
  • Male
  • Middle Aged
  • Obturator Nerve / diagnostic imaging*
  • Obturator Nerve / drug effects
  • Pain, Postoperative / diagnostic imaging
  • Pain, Postoperative / prevention & control
  • Retrospective Studies
  • Ultrasonography, Interventional / methods

Substances

  • Anesthetics, Local