PENG BLOCK AND FEMORAL NERVE INJURY?

2024-1-2 13:53

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In reviewing the medico-legal cases in which practitioners are being sued over nerve injury that potentially resulted from regional anesthesia, I have identified several patterns that lead to a higher risk for both the neurologic complications, and a higher risk of being named in a lawsuit. In cases of nerve injury that may be related to nerve blocks, it is often the lack of monitoring and documentation that exposes the practitioners to the risk of being sued, and more importantly possibly expose the patient to an injury. Since NYSORA is one of the most prominent teaching organizations, I often see images and illustrations from NYSORA’s Nerve Block App, Nerve Block Mannual, or the Compendium of regional anesthesia that are included in the legal documents. However, it is extremely interesting to see from these documents the lack of understanding of how the combination of existing, and ubiquitously available monitoring can be beneficial in avoiding these complications. Let’s take a look at the PENG or pericapsular nerve group infiltration block. As the PENG block is increasingly more often being used for the purpose of analgesia after THA, we are also seeing an increase in the incidence of femoral nerve injury.

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