PENG block: pericaspular nerve group block >> anterior approach of interventional analgesia for painful hip (femoral neck fracture or total hip replacement surgery)
PENG block is motor sparing.
Target: the articular branches of the femoral, accessory obturator, and obturator nerves
NYSORA’s three-step ultrasound imaging strategy:
- Identify the femoral artery and NERVE at the femoral crease.
- Slide the Transducer Proximally to identify the pubic ramus and anterior inferior iliac spine.
- Tilt the Transducer Caudally to optimize the image of the psoas tendon, minimizing the risk of nerve injury and incorrect needle insertion.