PENG Block for Hip Fracture: Ultrasound Guided Technique | Step by Step ED Tutorial | 2026

PENG Block for Hip Fracture | Ultrasound-Guided Technique for Emergency Department Pain Control In this video, we break down the PENG block (Pericapsular Nerve Group block)—a game-changing technique for hip fracture pain management in the emergency department. If you’re managing fractured neck of femur (NOF) patients, this ultrasound guided PENG block provides effective, opioid-sparing analgesia. This is a complete, step-by-step PENG block ultrasound guided tutorial, designed for emergency physicians, anaesthetists, and clinicians interested in regional anaesthesia in emergency medicine and POCUS nerve block techniques. 🔍 What You’ll Learn: PENG block technique step by step Key PENG block anatomy (ultrasound landmarks) including: Iliopubic eminence ultrasound identification Femoral nerve articular branches Obturator nerve articular branch block Accessory obturator nerve block Ultrasound probe positioning for PENG block Needle guidance (in-plane ultrasound technique) Tips for safe and effective ultrasound guided hip block PENG block indications and contraindications Avoiding and managing PENG block complications Timestamps/ Chapters: 0:00 - Introduction to PENG Block 0:53 - Clinical Case Study: Hip Fracture 3:51 - Anatomy of the Anterior Hip Capsule 4:23 - Medical Literature & Evidence 11:07 - Step-by-Step Ultrasound Technique 12:52 - Summary & Key Takeaways 💡 Why Use a PENG Block? The PENG block for hip pain is rapidly becoming the best nerve block for hip fracture analgesia due to: Superior hip capsule innervation coverage Effective pain relief in elderly hip fracture patients Reduced opioid requirements (opioid-sparing analgesia in ED) Ideal for geriatric fractured neck of femur pain control ⚖️ PENG Block vs Fascia Iliaca Block We also compare: PENG block vs fascia iliaca block When to choose each technique in ED pain management for hip fracture Advantages of PENG block emergency use 🏥 Who Is This For? Emergency physicians & trainees Anaesthetists & pain specialists Clinicians learning ultrasound guided regional anaesthesia (UGRA) Anyone interested in bedside ultrasound procedures and acute pain management in ED 📌 Key Topics Covered: PENG block, peng block ultrasound, peng block ultrasound video, peng block emergency, peng block NOF, hip fracture nerve block, femoral neck fracture analgesia, fractured neck of femur pain control, hip fracture pain management ED, ultrasound guided regional anaesthesia, UGRA emergency medicine, POCUS tutorial emergency, emergency ultrasound nerve block, ultrasound guided injections hip, hip pain nerve block, trauma pain control ultrasound, multimodal analgesia hip fracture, emergency medicine procedures, nerve block tutorial medical, medical education PENG block 👍 If You Found This Useful: Like 👍 Comment with your experience using PENG block in the ED Share with colleagues Subscribe for more POCUS & emergency procedures tutorials If you have not done already, please subscribe to the channel and press on the bell icon so that we can share with you new videos every week on various topics which are relevant to your clinical practice. If you still have any burning questions or some awesome ideas, please write in the comment section and my team will get back to you as soon as we can do. Happy watching! Please subscribe to :    / drbarai   Please complete the Feedback: Your Feedback is very important to us: https://forms.gle/ZZ8UfEo5gHRa7WUn6 _____________________________________________________________ Amazon affiliate page: https://amzn.to/2XoguqA Support the channel:   / drbarai   Website: https://drbarai.weebly.com/ Twitter: @drbarai email: [email protected] _______________________________________________________________ Evidence source: https://www.UpToDate.com Video, images and Music source: www.pixabay.com, www.pexels.com, ChatGPT Check your knowledge: ECG Quiz 1: https://forms.gle/gv5Bih529UAbPaeQ7 ______________________________________________________________ #AskDrBarai #ECG #POCUS #EmergencyMedicine #UrgentCare ______________________________________________________________