Thread by @Doctor_JRD

PENG block:
1. an alternative to femoral or fascia iliac block for hip pain
2. motor sparing
3. simple to perform
4. if you can do a femoral block you can do a PENG block
@EMARIANOMD @jeffgadsden @amit_pawa #Blocktober #regionalanesthesia #ANES20 #MedEd #FOAMed

Some pertinent anatomy.

Where do you put the local? Just deep to the psoas tendon which is visualized on the ramus, creating a nice pool

Why does the PENG block work so well for hip pain?
Current understanding is that it blocks high articular branches of the femoral nerve and the accessory obturator nerve. These nerves are consistently found between the iliopubic eminence and the anterior inferior iliac spine

When should you use the PENG block?
Anytime you might have hip pain, specifically hip fracture, hip arthroplasty, hip arthroscopy and chronic hip pain

If a picture is worth a thousand words, maybe this video is worth more:

For the full video please visit:

@EMARIANOMD @jeffgadsden @amit_pawa #Blocktober #regionalanesthesia #ANES20 #MedEd #FOAMed

Here is our reading list for today:
ORIGINAL:pubmed.ncbi.nlm.nih.gov/30063657/, CONTINOUS:pubmed.ncbi.nlm.nih.gov/32796133/, THA:pubmed.ncbi.nlm.nih.gov/32661723/, SCOPE:pubmed.ncbi.nlm.nih.gov/31174156/