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<p>Isolated hip fractures incur significant mortality within 1&#xa0;year of operative repair. Adequate analgesia is important in maintaining functional status and facilitating recovery. A multi-modal pain management strategy incorporating regional anesthesia may decrease the need for high-dose narcotics and promote faster recovery. The Pericapsular Nerve Group (PENG) block was thus developed as a regional anesthesia option for patients with hip fractures. It involves an ultrasound-guided approach that targets the anterior hip zone to provide a motor-sparing hip block. This write-up provides a sequential, step-by-step guide on how to perform the PENG block in the emergency department.</p>

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Pericapsular Nerve Group block in the emergency department for hip fractures: a clinical protocol

  • 期刊论文

  • 发表日期：

    2025年3月3日

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  • Vinay Saggar,
  • Anirudh Ramachandran,
  • Michael Halperin,
  • Lorena Abril,
  • Aamir Bandagi,
  • Ariella Gartenberg,
  • Trevor Dixon,
  • Nicole Leonard-Shiu,
  • Michelle A. Montenegro,
  • Maninder Singh,
  • Jeremy Sperling,
  • Jonathan Maik

摘要

Isolated hip fractures incur significant mortality within 1 year of operative repair. Adequate analgesia is important in maintaining functional status and facilitating recovery. A multi-modal pain management strategy incorporating regional anesthesia may decrease the need for high-dose narcotics and promote faster recovery. The Pericapsular Nerve Group (PENG) block was thus developed as a regional anesthesia option for patients with hip fractures. It involves an ultrasound-guided approach that targets the anterior hip zone to provide a motor-sparing hip block. This write-up provides a sequential, step-by-step guide on how to perform the PENG block in the emergency department.