Related Experiment Video
Updated: Dec 8, 2025
07:30
The Muscle Cuff Regenerative Peripheral Nerve Interface for the Amplification of Intact Peripheral Nerve Signals
Published on: January 13, 2022
2.3K
Pericapsular nerve group (PENG) block: A feasibility study of landmark based technique
Ashok Jadon1, Neelam Sinha1, Swastika Chakraborty1
1Department of Anaesthesia and Pain Relief Service, Tata Motors Hospital, Jamshedpur, Jharkhand, India.
Indian Journal of Anaesthesia
|September 16, 2020
Summary
A new landmark-based technique for Pericapsular nerve group (PENG) block offers a feasible alternative to ultrasound guidance. This method effectively manages hip fracture pain and improves patient comfort during procedures, even without advanced imaging.
Area of Science:
- Anesthesiology
- Regional Anesthesia
- Pain Management
Background:
- Pericapsular nerve group (PENG) block is an emerging ultrasound-guided technique primarily for hip fracture pain.
- Its reliance on ultrasound limits accessibility in resource-poor settings.
- A novel landmark-based approach is proposed to broaden its application.
Purpose of the Study:
- To evaluate the feasibility of a landmark-based Pericapsular nerve group (PENG) block.
- To assess the clinical efficacy and safety of this novel technique.
- To determine its potential for pain management in hip fracture patients.
Main Methods:
- A feasibility study involving 10 hip fracture patients undergoing surgery.
- Comparison of ultrasound-guided (4 patients) and landmark-based nerve stimulator-guided (6 patients) PENG blocks.
- Pain assessed via Numeric Rating Scale (NRS); comfort during spinal anesthesia via Ease of Spinal Position (EOSP) score.
Main Results:
- Successful block placement in all 10 patients.
- Significant reduction in pain scores (NRS) at rest and with limb elevation.
- All patients reported improved comfort during spinal anesthesia positioning (EOSP score).
Conclusions:
- The landmark-based Pericapsular nerve group (PENG) block is a safe and feasible technique.
- This approach expands PENG block utility in settings lacking ultrasound facilities.
- It provides effective pain relief and procedural comfort for hip fracture patients.
