Turkish Journal of Anaesthesiology & Reanimation

Beyond the Pericapsular Nerve Group (PENG) Block: A Narrative Review


MoMaRC: Morphological Madrid Research Center, Madrid, Spain


Department of Anesthesiology, Instituto Português de Oncologia Do Porto Francisco Gentil, Porto, Portugal


Department of Outcomes Research Anesthesiology Institute Cleveland Clinic, Cleveland, OH, USA


Department of Anesthesiology and Reanimation, University of Istanbul-Cerrahpaşa, Cerrahpaşa School of Medicine, Istanbul, Turkey


Kalinga Institute of Medical Sciences, Bhubaneswar, India


Division of Rheumatology, Department of Medical-geriatric, University Hospital AOU Careggi, Florence, Italy


Department of Anesthesiology, Hospital Universitario de Móstoles, Móstoles, Spain


Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey


Department of Anesthesiology and Reanimation, School of Medicine, Ataturk University, Erzurum, Turkey


Hospital Interzonal General Dr. José Penna. Bahía Blanca, Buenos Aires, Argentina


Department of Anatomy, Histology and Neuroscience, Autonomous University of Madrid, Madrid, Spain


Department of Basic Medical Sciences, University of La Laguna, Tenerife, Canary Islands, Spain


Hospital Universitario 12 de Octubre, Madrid, Spain


Department of Anesthesiology, Hospital Mexico Costa Rica, San Jose, Costa Rica

Turk J Anaesthesiol Reanim 2022; 50: 167-172
DOI: 10.5152/TJAR.2021.21230
Read: 60 Downloads: 13 Published: 01 June 2022

The pericapsular nerve group block shows promising results in providing pain relief with a potential motor-sparing effect in hip fracture patients. In this narrative review, we analyze the published articles, and we describe the structures achieved when performing the block. We conducted a literature search to identify the articles performing the pericapsular nerve group block, in the adult or paediatric population, from November 1, 2018, to May 15, 2021. Of the 68 selected articles, 38 were considered eligible, including 1 double-blinded randomized comparative trial, 4 observational studies, and 33 case series and case reports. The technique was described in both acute and chronic pain settings, mainly performed as single shot. All studies described effective analgesia. Quadriceps weakness was experienced in some patients. It has been described as easy to perform and has a low rate of complications. It lacks, however, adequately powered randomized controlled trials to assess its clinical value and efficacy.

Cite this article as: Teles AS, Yamak Altınpulluk E, Kumar Sahoo R, et al. Beyond the pericapsular nerve group (PENG) block: A narrative review. Turk J Anaesthesiol Reanim. 2022;50(3):167-172.

EISSN 2667-6370