A new frontier in pelvic fracture pain control in the ED:

Am J Emerg Med · Dec 2020

Case Reports

A new frontier in pelvic fracture pain control in the ED: Successful use of the pericapsular nerve group (PENG) block.

The pericapsular nerve group (PENG) block is a novel ultrasound-guided regional anesthesia technique derived from recent anatomic studies detailing the sensory innervation of the hip. Targeting these terminal sensory branches, the PENG block was originally developed as a potentially more effective block for perioperative hip fracture anesthesia, with the added benefit of preserving motor function. ⋯ This raises the possibility that the PENG block may have a role in the Emergency Department (ED) where regional anesthesia options for pelvic fractures are lacking. Herein, we present the first description of PENG blocks successfully used for pelvic fractures in the ED setting.

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- Josh Luftig, Andrea Dreyfuss, Daniel Mantuani, Kaitlen Howell, Angela White, and Arun Nagdev.
- Department of Emergency Medicine, Highland Hospital-Alameda Health System, Oakland, CA, United States of America. Electronic address: jluftig@alamedahealthsystem.org.
- Am J Emerg Med. 2020 Dec 1; 38 (12): 2761.e5-2761.e9.
AbstractThe pericapsular nerve group (PENG) block is a novel ultrasound-guided regional anesthesia technique derived from recent anatomic studies detailing the sensory innervation of the hip. Targeting these terminal sensory branches, the PENG block was originally developed as a potentially more effective block for perioperative hip fracture anesthesia, with the added benefit of preserving motor function. Subsequent research with higher volumes of local anesthetic demonstrated the successful utilization of PENG block for perioperative acetabular fractures. This raises the possibility that the PENG block may have a role in the Emergency Department (ED) where regional anesthesia options for pelvic fractures are lacking. Herein, we present the first description of PENG blocks successfully used for pelvic fractures in the ED setting.Copyright © 2020 Elsevier Inc. All rights reserved.

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A new frontier in pelvic fracture pain control in the ED: Successful use of the pericapsular nerve group (PENG) block.

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