Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 Mar 3.
doi: 10.1007/s40477-025-00999-9. Online ahead of print.

Pericapsular Nerve Group block in the emergency department for hip fractures: a clinical protocol

Vinay Saggar  1   2 , Anirudh Ramachandran  3 , Michael Halperin  4   5 , Lorena Abril  4   5 , Aamir Bandagi  6 , Ariella Gartenberg  7   8 , Trevor Dixon  4   5 , Nicole Leonard-Shiu  4   5 , Michelle A Montenegro  4   5 , Maninder Singh  4   5 , Jeremy Sperling  4   5 , Jonathan Maik  6
Affiliations

Pericapsular Nerve Group block in the emergency department for hip fractures: a clinical protocol

Vinay Saggar et al. J Ultrasound. .

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.

Keywords: Emergency department; Hip fractures; Pericapsular Nerve Group (PENG) block; Regional anesthesia; Ultrasound.

PubMed Disclaimer

Conflict of interest statement

Declarations. Conflict of interest: All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. IRB approval: Not applicable. Authorhip: We certify that all listed authors meet the journal’s specific requirements regarding the duties and responsibilities of authorship, all authors have read and approved the manuscript, and that all authors believe that the manuscript represents honest work.

References

    1. Mukherjee K, Brooks S, Barraco R et al (2020) Elderly adults with isolated hip fractures- orthogeriatric care versus standard care: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg 88(2):266–278 - DOI - PubMed
    1. Brauer CA, Coca-Perraillon M, Cutler DM et al (2009) Incidence and mortality of hip fractures in the United States. JAMA 302(14):1573–1579 - DOI - PubMed - PMC
    1. ACEP (2021) Ultrasound-guided nerve blocks. ACEP Policy Statement. https://www.acep.org/siteassets/new-pdfs/policy-statements/ultrasound-gu...
    1. American Academy of Orthopaedic Surgeons Board of Directors Strong evidence supports regional analgesia to improve preoperative pain control in patients with hip fracture (2014) Management of hip fractures in the elderly—evidence-based clinical practice guideline. http://www.orthoguidelines.org/guideline-detail?id=1231 .
    1. Sykes Z, Pak A (2025) Femoral nerve block. 2023 Jul 24. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island

LinkOut - more resources