Acetabular fracture - post operative analgesia peng block an alternative approach

Abstract

In hip fractures reductions the commonly used blocks are the femoral nerve block and fascia iliaca compartment block (FICB) analgesia and anesthesia. Since the articular branches that innervate the hip joint arise at a higher level along the course of the nerves.^[1] Hence these blocks may not provide sufficient analgesia for the hip fractures patients both pre-operatively and post-operatively. Introduction: To overcome this newer techniques are employed these days such as PENG block that are guided by ultra-sound. The pericapsular nerve group (PENG) block is a technique that involves deposition of local anesthetic in the musculofascial plane between the psoas muscle and the superior pubic ramus ^[2] This block has been recently described as an effective option for hip analgesia, as it targets the articular branches that supply the hip.^[3] It could be very useful for analgesia during the perioperative period. Hence this case report throws light on an intervention using PENG block before surgical correction of hip fractures.