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, et al. Pericapsular Nerve Group block in the emergency department for hip fractures: a clinical protocol. J Ultrasound. Published online March 3, 2025. doi:10.1007/s40477-025-00999-9
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.
Affiliations
Advocate Christ Medical Center