Saggar Vinay, Ramachandran Anirudh, Halperin Michael, Abril Lorena, Bandagi Aamir, Gartenberg Ariella, Dixon Trevor, Leonard-Shiu Nicole, Montenegro Michelle A, Singh Maninder, Sperling Jeremy, Maik Jonathan
Department of Emergency Medicine, Columbia Vagelos College of Physicians and Surgeons, New York, NY, USA.
Department of Emergency Medicine, New York-Presbyterian/Columbia Medical Center, New York, NY, USA.
J Ultrasound. 2025 Mar 3. doi: 10.1007/s40477-025-00999-9.
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.
孤立性髋部骨折在手术修复后1年内会导致显著的死亡率。充分的镇痛对于维持功能状态和促进恢复很重要。采用包括区域麻醉在内的多模式疼痛管理策略可能会减少对大剂量麻醉药的需求，并促进更快恢复。因此，囊周神经组（PENG）阻滞被开发为髋部骨折患者的一种区域麻醉选择。它采用超声引导方法，靶向髋部前区以提供保留运动功能的髋部阻滞。本文提供了在急诊科如何进行PENG阻滞的循序渐进的指南。
