Peri-capsular nerve group block provides excellent analgesia in hip fractures and positioning for spinal anaesthesia: A prospective cohort study

Perioperative management of hip fractures is challenging because of multiple co-morbidities and poor physiological reserve in elderly patients. Pain is a major symptom and effective pain management utilising fascia iliaca compartment block (FICB) and femoral nerve (FN) block is popular among anaesthesiologists.[1] Recently, the pericapsular nerve group (PENG) block was described targeting the articular branches of FN, accessory obturator nerve (ON) and possibly ON in providing analgesia for hip fractures.[2] In our prospective cohort study, we wanted to evaluate the analgesic efficacy of PENG block in hip fracture patients for providing optimal sitting position for spinal anaesthesia (SA).