I am looking to give a lecture about this block at SCUF (Society for Clinical Ultrasound Fellowships), an emergency medicine conference. Is there a way I can get in touch with you to request permission to use a couple still images that show the anatomy and sonoanatomy? These are incredible. Thank you for the awesome work!
Nope, generally it’s helpful for any approach to THA because regardless of their approach through the soft tissues and capsule, the surgeons are still resecting the head of the femur and doing some work on the acetabulum. These structures are largely innervated by the nerves that you block with the PENG block. Thanks as always for watching!!
however, femoral shaft will not get coverage so GA will be needed. I like obt, lfcn, fem and parasacral sciatic block for joint replacement under no/minimal sedation
The video is missing the most important part that concerns students and residents: the deepness of the immage. So for those who wanna know: to block Lateral cutaneus nerve ( which should also be blocked along with PENG block), place the deepness 2 cm and find the nerve in between 1cm and 0.5 cm. When comes to PENG block adjust the deepness 3 cm and find the FA and FN at 2 cm and the psoas tendon at 3 cm under which tendon you deposit the LA. You are welcome.
Theres an recent article focusing on functional comparisons instead of only resting pain and the functional recobery of the peng is superior. So whenever possible do the Peng. I’d consider the Supra inguinal only in case of a fractured combined affecting the greater trocanter to the femur only…
Combined with a femoral nerve block, you can actually use the PENG block to do a minimally invasive (fully anterior approach) partial hip aethroplasty without any need for spinal anesthesia. ua-cam.com/video/2U7OXk8arfk/v-deo.html
Great video! A couple of questions: 1. As an institution, do you guys encourage routine use of blocks for elective total hips? 2. If so, do you favour SCIFI or PENG blocks?
Great video, view optimization tips were great! 😁
Your videos are great! Keep up the good work!
Simple and concise.
Thank you! great video!
I am looking to give a lecture about this block at SCUF (Society for Clinical Ultrasound Fellowships), an emergency medicine conference. Is there a way I can get in touch with you to request permission to use a couple still images that show the anatomy and sonoanatomy? These are incredible. Thank you for the awesome work!
Does it matter what the orthopedic approach for the total hip arthroplasty is for the effectiveness of this block (anterior vs. lateral)?
Nope, generally it’s helpful for any approach to THA because regardless of their approach through the soft tissues and capsule, the surgeons are still resecting the head of the femur and doing some work on the acetabulum. These structures are largely innervated by the nerves that you block with the PENG block. Thanks as always for watching!!
Wow, It's amazing and great. What do you think about the combination of FN and LFCN block?
however, femoral shaft will not get coverage so GA will be needed. I like obt, lfcn, fem and parasacral sciatic block for joint replacement under no/minimal sedation
😂
The video is missing the most important part that concerns students and residents: the deepness of the immage. So for those who wanna know: to block Lateral cutaneus nerve ( which should also be blocked along with PENG block), place the deepness 2 cm and find the nerve in between 1cm and 0.5 cm. When comes to PENG block adjust the deepness 3 cm and find the FA and FN at 2 cm and the psoas tendon at 3 cm under which tendon you deposit the LA. You are welcome.
Thanks, that's an important concept! It's easy to miss the key structures if the depth is set incorrectly. Thanks for watching!
do you recommend exparel for nerve blocks?
When if ever would you recommend the PENG over SIFI? Or does it simply fall to provider comfort level?
Theres an recent article focusing on functional comparisons instead of only resting pain and the functional recobery of the peng is superior. So whenever possible do the Peng. I’d consider the Supra inguinal only in case of a fractured combined affecting the greater trocanter to the femur only…
www.ncbi.nlm.nih.gov/pmc/articles/PMC10390614/pdf/540_2023_Article_3192.pdf
It’s from 2023
10 numara video olmuş
We are now doing PENGS for most of our total hips. Any advice on suppressing incisional pain outside of surgeon doing LIA?
You can block the LFCN before you fully pull out the needle.
Combined with a femoral nerve block, you can actually use the PENG block to do a minimally invasive (fully anterior approach) partial hip aethroplasty without any need for spinal anesthesia.
ua-cam.com/video/2U7OXk8arfk/v-deo.html
Great video! A couple of questions: 1. As an institution, do you guys encourage routine use of blocks for elective total hips? 2. If so, do you favour SCIFI or PENG blocks?
@@regionalanesthesiology Thanks so much for the thorough feedback! Really appreciate it
this bloq was first done on penguins in 1955 that were trapped due to weather and did not have demerolo
Sometimes, I feel it so hard with syringe to inject LA to pericapsular space. May I have inject in wrong space?
What kind of block is performed in artificial head replacement? (PENG,LCFN,Fem,etc)
What’s difference between PENG block and iliopsoas plane block?
Excelent!
Exccelent!!!!
Vielen Dank
thank you
Toronto Western Hospital, Dr. Peng's block lol