Key result
Bedside pericapsular nerve group (PENG) blocks successfully provided a clinically important reduction in pain scores without complications in a series of 5 patients with hip fractures.
Why the study?
Hip fracture guidelines recommend timely analgesia to facilitate prompt surgical repair, but early pain management in complex, frail patients remains challenging.
Does bedside pericapsular nerve group (PENG) block improve pain scores in patients with hip fracture in the emergency department?
Case Report (n=5)
Does bedside pericapsular nerve group (PENG) block improve pain scores in patients with hip fracture in the emergency department?
Bedside PENG blocks performed by emergency physicians offer a safe and effective opioid-sparing analgesic option for patients with hip fractures.
Suggests bedside PENG blocks feasible for hip fracture pain; leaves open need for RCTs to establish role in emergency care.
Guidelines for the management of hip fractures recommend timely identification, analgesia and optimisation, in order to facilitate prompt surgical repair. In achieving these aims, multidisciplinary care is essential. In this case series, we present five patients who received bedside pericapsular nerve group (PENG) blocks by emergency physicians in collaboration with the anaesthesia team for pain management following hip fracture. The PENG block is a novel motor- and opioid-sparing technique, which offers long-lasting analgesia and requires less volume than other blocks. In all of the cases in this series, the blocks were performed successfully in a short period of time, without complication. All patients reported a clinically important reduction in pain scores. Patients with hip fracture are often medically complex, and while early surgery is not always possible, pain management should be addressed from an early point in their hospital admission. Multidisciplinary input into peri-operative pathways can enhance the provision of analgesia in the emergency department, by allowing anaesthetists and emergency physicians to work together for the benefit of these often-frail patients.
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Rocha‐Romero et al. (2021) conducted a case report in hip fracture (n=5). Pericapsular nerve group (PENG) block was evaluated on reduction in pain scores. Bedside pericapsular nerve group (PENG) blocks successfully provided a clinically important reduction in pain scores without complications in a series of 5 patients with hip fractures.
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