PERICAPSULAR NERVE GROUP BLOCK (PENG BLOCK). OUR CURRENT UNDERSTANDING.
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- Опубліковано 29 вер 2024
- In this video we show what is known so far about this new technique. Anatomy and innervation of the hip joint. Sonoanatomy for the correct performance of the blockage, approach and dose of local anesthetic used.
Edition: VICENTE ROQUÉS
Advisors: PHILIP PENG AND JON WILTON
Narration: JON WILTON
Great video! If I can make one suggestion it would be to highlight that the LFCN is not blocked and thus any incisions in the lateral thigh will not be blocked. It also would've made a nice addition to the video to show a quick location of the LFCN on the way out to block it. (This is what I am trying to learn myself at the moment). Along the same lines, iif you get a parasthesia traveling to the lateral thigh with needle insertion, you may be contacting the LFCN and need to change your insertion point and or trajectory to prevent needle trauma.
excellent video presentation.. congratulations to the team.
PENG is an excellent analgesic option and may hv potential to be used in an emergency department setting.. can even be an option prior to positioning patients before performing a subarachnoid block.. personally i feel when pt goes for surgery most hip or proximal femur procedure incisions necessitates a block of LFCN which is not addressed by a PENG alone.. if PENG is administered for surgery, a supplemental block of the LFCN is required i feel.. OR, which a suprainguinal FICB can provide as well, technically less challenging, more superficial target... depends on level of experience of the operator.. good option to hv though.. well done..
What a great demonstration!! Thank you for your great work!!
Once again an excellent video presentation. Thank you very much for such informative videos..
Thank you for the wonderful work.
By the way which direction should LA spread?
imai syu it is desirable to go medial
think there is a mistake over one of the posterior innervation labelled.. not nerve to Quadratus lumborum.. shd hc been nerve to quadratus femoris
Very good description with baby steps. Helpful for people who do not have anyone else to teach them in person.
it s great, good explication
Extraordinary educational video. Thanks
Can we do hip replacement surgery with PENG block only or we need femoral/ lfcn/ or any other block along with this
No, we can’t. It is just an analgesic block
SUPER VIDEO, MUCHAS GRACIAS DESDE MEXICO.
Superb presentation. Excellent.
Hello, thank you for making the video, I am trying to create a lo-fi model to mimic the PENG block, are these all images of live patients or is it a SIM, what materials are you using to mimic bones, muscles, tendon and vessels?
Anirudh R they are patient images. Real ones. Not SIM
Amazing video!!! Thank you!!!
Great video thanks.
think there is a mistake over one of the posterior innervation labelled.. not nerve to Quadratus lumborum.. shd hc been nerve to quadratus femoris
azrin mohd azidin you are right. It is quadratus femoris
@@VicenteRoques still it is a great video.. thank you very much.. very much appreciate it..
Thanks
Incredible video, great narration, great block. Thanks all for your hard work and teaching.
DrRoques, plantearia este bloqueó como una alternativa más segura y comoda para la analgesia de la artroplastia total de cadera versus el bloqueo plexo lumbar posterior?
Por supuesto. Es una de las indicaciones actuales. Añadiendo un bloqueo del FCT obtendríamos analgesia en cirugía protésica. Es posible que no tan completa como la que obtenemos con un bloqueo lumbar posterior, pero comparable al bloqueo de la fascia iliaca.
Mas segura; por volumen y por técnica. Y sin bloqueo motor
Vicente Roques Escolar muchas gracias.
Excellent video (as usual - been following your channel for a time now, keep up the great work!). I've been doing this with decent success and do seem to see a similar spread of local when I inject. One thing though, it takes quite a bit of pressure to inject, more so that for other plane blocks. Is this also your experience? Or am I injecting in the wrong place (ie under periost or something like that). Thanks!