PENG block (NYSORA)

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:

  1. Identify the femoral artery and NERVE at the femoral crease.
  2. Slide the Transducer Proximally to identify the pubic ramus and anterior inferior iliac spine.
  3. Tilt the Transducer Caudally to optimize the image of the psoas tendon, minimizing the risk of nerve injury and incorrect needle insertion.

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