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Pericapsular Nerve Group Block for Prosthetic Hip Reduction in the Emergency Department: Case Report.

Rebecca Thomas1, Matthew Carr1, Janae Fry1

  • 1HCA Orange Park Hospital, Emergency Department, Orange Park, Florida.

Clinical Practice and Cases in Emergency Medicine
|February 4, 2025
PubMed
Summary

The pericapsular nerve group (PENG) block offers a motor-sparing approach for hip dislocation reduction. This regional anesthesia technique is safe and effective for prosthetic hip dislocations in the emergency department.

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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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