Pericapsular Nerve Group (PENG) block with bupivacaine for relieving pain during positioning for spinal anaesthesia in 4 patients during hip fracture surgery - A case series

Pericapsular nerve group (PENG) block is a novel approach for providing peri-operative analgesia wherein the articular branches of femoral nerve, obturator nerve and accessory obturator nerve are blocked. It has been found to be very effective as a regional anaesthesia technique during hip surgeries. We, hereby evaluated the USG guided PENG block with 0.25% bupivacaine (20ml) in 4 patients scheduled to undergo hip fracture surgeries. There was significant reduction in the pain scores both at resting position and 15 degree leg raise after the institution of block in all patients. All patients could sit upright during the institution of spinal anaesthesia.