Scholarlink

Background <p>Effective pain management in frail patients with hip fractures who are not candidates for surgery remains challenging. The pericapsular nerve group (PENG) block with phenol has been proposed as a minimally invasive option in this context. However, its integration into palliative care pathways is not well established. This study evaluated how Dutch anesthesiologists perceive the PENG block with phenol for non-operative pain management and explored the current state of its implementation.</p> Methods <p>We conducted a national cross-sectional survey among all registered anesthesiologist-pain specialists in the Netherlands (N = 192). The survey assessed perceived barriers and facilitators to implementation, categorized at the system, staff, and intervention levels. Secondary outcomes included perceptions of acceptability, feasibility, and appropriateness.</p> Results <p>Sixty anesthesiologists completed the survey (adjusted response rate 31%), of whom 88% reported prior experience with the PENG block using phenol. Reported barriers included uncertainty about long-term efficacy (57%), logistical constraints (48%), and limited training opportunities (35%). Facilitators were the availability of clear protocols (55%) and an expanding evidence base (50%). Respondents largely considered the block technically straightforward and clinically appropriate, particularly for femoral neck fractures. Nevertheless, feasibility concerns were highlighted regarding referral pathways and interdepartmental collaboration.</p> Conclusions <p>Dutch anesthesiologists widely accept the PENG block with phenol as an appropriate option for pain management in selected frail patients with hip fractures in the non-operative setting. Implementation is currently constrained by evidence gaps, logistical barriers, and institutional variability. Targeted staff-, intervention-, and system-level strategies may facilitate broader adoption, including structured residency training, institutional protocols with patient education tools, and interdisciplinary collaboration across relevant specialties. Further evidence and national guideline development are needed to facilitate standardized practice and international implementation.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Attitudes of anesthesiologists towards implementation of PENG block in non-operative treatment of hip fractures in the Netherlands: a national survey study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年5月29日

查看全文
  • Marte I. Lommerse,
  • Daphne van Embden,
  • Thamar Kroes,
  • Rachel J.H. Smits,
  • Jan Willem Kallewaard,
  • Hanna C. Willems,
  • Henk J. Schuijt,
  • Bart Spaetgens,
  • Detlef Van der Velde,
  • Esther M. M. Van Lieshout,
  • Gezina T. M. L. Oei,
  • Glenn Van de Vossenberg,
  • Han Hegeman,
  • Hugo H. Wijnen,
  • Job N. Doornberg,
  • Johan Haumann,
  • Koen Bos,
  • Lennart G. Wasmoeth,
  • Leon Timmerman,
  • Michiel H. J. Verhofstad,
  • Miriam Van der Velden,
  • Nicole Lefel,
  • Pieter Joosse,
  • Renée A. G. Brüggemann,
  • Rutger Zuurmond,
  • Seppe J. S. H. A. Koopman,
  • Selina E. I. Van der Wal,
  • Taco Gosens

摘要

Background

Effective pain management in frail patients with hip fractures who are not candidates for surgery remains challenging. The pericapsular nerve group (PENG) block with phenol has been proposed as a minimally invasive option in this context. However, its integration into palliative care pathways is not well established. This study evaluated how Dutch anesthesiologists perceive the PENG block with phenol for non-operative pain management and explored the current state of its implementation.

Methods

We conducted a national cross-sectional survey among all registered anesthesiologist-pain specialists in the Netherlands (N = 192). The survey assessed perceived barriers and facilitators to implementation, categorized at the system, staff, and intervention levels. Secondary outcomes included perceptions of acceptability, feasibility, and appropriateness.

Results

Sixty anesthesiologists completed the survey (adjusted response rate 31%), of whom 88% reported prior experience with the PENG block using phenol. Reported barriers included uncertainty about long-term efficacy (57%), logistical constraints (48%), and limited training opportunities (35%). Facilitators were the availability of clear protocols (55%) and an expanding evidence base (50%). Respondents largely considered the block technically straightforward and clinically appropriate, particularly for femoral neck fractures. Nevertheless, feasibility concerns were highlighted regarding referral pathways and interdepartmental collaboration.

Conclusions

Dutch anesthesiologists widely accept the PENG block with phenol as an appropriate option for pain management in selected frail patients with hip fractures in the non-operative setting. Implementation is currently constrained by evidence gaps, logistical barriers, and institutional variability. Targeted staff-, intervention-, and system-level strategies may facilitate broader adoption, including structured residency training, institutional protocols with patient education tools, and interdisciplinary collaboration across relevant specialties. Further evidence and national guideline development are needed to facilitate standardized practice and international implementation.