{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:32:20Z","timestamp":1787070740022,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pericapsular nerve group (PENG) block is a novel approach for dynamic pain relief in hip fractures. Studies on the effectiveness of PENG block for positioning for spinal anesthesia are very few in the Indian population. This study aimed to identify the superior efficacy of PENG block over femoral block for positioning during spinal anesthesia for hip surgeries. This study will help use the PENG block as a better approach to currently used blocks without sparing any articular branches of the nerves to the hip joint.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Seventy-four patients who were scheduled for hip surgeries for femur fracture were assigned into femoral and PENG groups who received the block before spinal anesthesia. Both groups received 20 mL of 0.25% bupivacaine injected around the femoral nerve. The primary outcome was measured using hemodynamic parameters, visual analog scale (VAS) score, and duration of postoperative analgesia. Secondary outcomes were measured with postoperative analgesic use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Static and dynamic VAS were significantly different between both groups. Patients from the femoral group showed a significant reduction in static (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001) and dynamic VAS (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.006) when compared to the PENG group. Static pain and dynamic pain on passive motion after the block had significantly reduced in patients who received femoral block as compared to those who received PENG block. A highly significant difference was seen at 5, 10, and 15 min after the block. While positioning, patients from both groups sat comfortably for spinal anesthesia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>PENG block is a novel alternative technique for regional anesthesia for the hip. We conclude that both PENG and femoral block provide adequate analgesia for positioning for spinal anesthesia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_46_25","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T12:00:12Z","timestamp":1751284812000},"page":"99-104","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Pericapsular Nerve Group Block versus Femoral Block for Positioning During Spinal Anesthesia for Hip Fracture Surgeries"],"prefix":"10.4103","volume":"25","author":[{"given":"Trishna","family":"Pradeep","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahesh","family":"Nayak","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie C. R.","family":"Misquith","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shilpa A.","family":"Naik","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaik Gulam","family":"Osmani","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,30]]},"reference":[{"key":"R3-20260109","doi-asserted-by":"crossref","first-page":"710","DOI":"10.4103\/ija.IJA_388_20","article-title":"Pericapsular nerve group (PENG) block: A feasibility study of landmark based technique","volume":"64","author":"Jadon","year":"2020","journal-title":"Indian J Anaesth"},{"key":"R4-20260109","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.jclinane.2019.06.021","article-title":"Pericapsular nerve group (PENG) block for surgical anesthesia of medial thigh","volume":"59","author":"Ahiskalioglu","year":"2020","journal-title":"J Clin Anesth"},{"key":"R5-20260109","first-page":"1","article-title":"Pericapsular nerve group block for analgesia of positioning pain during spinal anesthesia in hip fracture patients, a randomized controlled study","volume":"36","author":"Alrefaey","year":"2020","journal-title":"Egypt J Anesth"},{"key":"R7-20260109","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1111\/j.1742-6723.2009.01163.x","article-title":"Use of ultrasound to facilitate accurate femoral nerve block in the emergency department","volume":"21","author":"Reid","year":"2009","journal-title":"Emerg Med Australas"},{"key":"R8-20260109","first-page":"CD001159","article-title":"Peripheral nerve blocks for hip fractures in adults","volume":"11","author":"Guay","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"R9-20260109","doi-asserted-by":"crossref","first-page":"150","DOI":"10.4103\/ijpn.ijpn_21_18","article-title":"A comparative study of ultrasound-guided femoral nerve block versus fascia iliaca compartment block in patients with fracture femur for reducing pain associated with positioning for subarachnoid block","volume":"32","author":"Jain","year":"2018","journal-title":"Indian J Pain"},{"key":"R10-20260109","doi-asserted-by":"crossref","first-page":"413","DOI":"10.5301\/hipint.5000566","article-title":"Update of NICE guidance for hip fractures in adults","volume":"27","author":"Chesser","year":"2017","journal-title":"Hip Int"},{"key":"R11-20260109","first-page":"859","article-title":"Pericapsular Nerve Group (PENG) block for hip fracture","volume":"43","author":"Gir\u00f3n-Arango","year":"2018","journal-title":"Reg Anesth Pain Med"},{"key":"R12-20260109","first-page":"1830136","article-title":"Pericapsular Nerve Group Block: An Excellent Option for Analgesia for Positional Pain in Hip Fractures","author":"Acharya","year":"2020","journal-title":"Case Rep Anesthesiol 2020"},{"key":"R13-20260109","first-page":"794","article-title":"Pericapsular Nerve Group (PENG) block versus fascia iliaca compartment (FI) block for hip surgery: A systematic review and meta-analysis of randomized controlled trials","volume":"73","author":"Andrade","year":"2023","journal-title":"Braz J Anesthesiol"},{"key":"R14-20260109","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1186\/s12871-023-02336-1","article-title":"Ultrasound-guided pericapsular nerve group (PENG) block for early analgesia in elderly patients with hip fractures: A single-center prospective randomized controlled study","volume":"23","author":"Tang","year":"2023","journal-title":"BMC Anesthesiol"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_46_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:35:48Z","timestamp":1787067348000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_46_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,30]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_46_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,30]]},"assertion":[{"value":"2025-02-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}