Pericapsular nerve group block in the emergency department for hip fractures: A clinical protocol

Authors

• Vinay Saggar, Department of Emergency Medicine, Columbia Vagelos College of Physicians and Surgeons, New York, NY, USA.
• Anirudh Ramachandran, Advocate Health - MidwestFollow
• Michael Halperin, Department of Emergency Medicine, Albert Einstein College of Medicine, 1400 Pelham Parkway, Bronx, NY, 10461, USA.
• Lorena Abril, Department of Emergency Medicine, Albert Einstein College of Medicine, 1400 Pelham Parkway, Bronx, NY, 10461, USA.
• Aamir Bandagi, Department of Emergency Medicine, St Barnabas Hospital, Bronx, NY, USA.
• Ariella Gartenberg, Department of Emergency Medicine, Albert Einstein College of Medicine, 1400 Pelham Parkway, Bronx, NY, 10461, USA. ariella.applebaum@gmail.com.
• Trevor Dixon, Department of Emergency Medicine, Albert Einstein College of Medicine, 1400 Pelham Parkway, Bronx, NY, 10461, USA.
• Nicole Leonard-Shiu, Department of Emergency Medicine, Albert Einstein College of Medicine, 1400 Pelham Parkway, Bronx, NY, 10461, USA.
• Michelle A. Montenegro, Department of Emergency Medicine, Albert Einstein College of Medicine, 1400 Pelham Parkway, Bronx, NY, 10461, USA.
• Maninder Singh, Department of Emergency Medicine, Albert Einstein College of Medicine, 1400 Pelham Parkway, Bronx, NY, 10461, USA.
• Jeremy Sperling, Department of Emergency Medicine, Albert Einstein College of Medicine, 1400 Pelham Parkway, Bronx, NY, 10461, USA.
• Jonathan Maik, Department of Emergency Medicine, St Barnabas Hospital, Bronx, NY, USA.

Recommended Citation

Saggar V, Ramachandran A, Halperin M, Abril L, Bandagi A, Gartenberg A, Dixon T, Leonard-Shiu N, Montenegro MA, Singh M, Sperling J, Maik J. Pericapsular Nerve Group block in the emergency department for hip fractures: a clinical protocol. J Ultrasound. 2025 Sep;28(3):757-763. doi: 10.1007/s40477-025-00999-9. Epub 2025 Mar 3. PMID: 40032801; PMCID: PMC12496371.

Affiliations

Advocate Christ Medical Center

Abstract

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.

Document Type

Article

PubMed ID

40032801