A Competency-Based Evaluation Checklist for the Pericapsular Nerve Group (PENG) Block: A Delphi Study.

The Pericapsular Nerve Group (PENG) block is a novel, ultrasound-guided regional anesthesia technique that provides analgesia for hip surgeries by targeting the articular branches of the femoral, obturator, and accessory obturator nerves, while preserving motor function. Unlike traditional blocks us...

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Published in:AANA Journal Vol. 94; no. 4; pp. 275 - 280
Main Authors: Mulero-Marrero, Daniel, Peterman, Clinton, Terrault, David, Falyar, Christian, Harmon, Sharon, Evans, Hallie
Format: research Journal Article
Published: American Association of Nurse Anesthetists Aug2026
Online Access:View this record in EBSCOhost
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      dt: Aug2026
      vid: 94
      iid: 4
      pid: 11824
      pub: American Association of Nurse Anesthetists
      place: Park Ridge, Illinois
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        atl: A Competency-Based Evaluation Checklist for the Pericapsular Nerve Group (PENG) Block: A Delphi Study.
      aug:
        au:
          Mulero-Marrero, Daniel
          Peterman, Clinton
          Terrault, David
          Falyar, Christian
          Harmon, Sharon
          Evans, Hallie
        affil: Christus Spohn Hospital, Corpus Chrisi, Texas
      sug:
        subj:
          Nerve Block Methods
          Nerve Block Standards
          Clinical Competence
          Checklists
          Instrument Construction
          Instrument Validation
          United States
          Human
          Female
          Male
          Delphi Technique
          Descriptive Statistics
          Arthroplasty, Replacement, Hip
          Ultrasonography
          Certified Registered Nurse Anesthetists Education
          Analgesia
          Anesthesia, Conduction
          Hip Surgery
          Femoral Nerve
          Validation Studies
          Consensus
          Item Analysis
          Image Processing, Computer Assisted
          Feedback
          Reproducibility of Results
          Educational Measurement
          Quantitative Studies
          Qualitative Studies
          Thematic Analysis
          Content Analysis
          Data Analysis Software
          Female
          Male
      ab: The Pericapsular Nerve Group (PENG) block is a novel, ultrasound-guided regional anesthesia technique that provides analgesia for hip surgeries by targeting the articular branches of the femoral, obturator, and accessory obturator nerves, while preserving motor function. Unlike traditional blocks used for total hip arthroplasty and femoral neck fractures, the PENG is a motor sparing block, promoting early ambulation while reducing opioid use. Despite its advantages, variability in technique and lack of standardization result in inconsistent results. This study aimed to develop and validate a competency-based checklist for PENG block performance using the Modified Delphi Method. Twenty-five regional anesthesia experts were invited to participate; 16 responded to the first survey round. A consensus of over 75% was achieved on all checklist items, particularly those related to anatomic landmarks and postblock procedures. Variability in ultrasound image acquisition techniques highlighted the need for flexibility within a standardized framework. Expert feedback was integrated to refine the checklist, ensuring clinical relevance and educational value. Establishing a validated checklist will standardize PENG block administration, leading to enhanced provider competency, improved outcomes, and reduced incidence of complications.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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