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

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: A Competency-Based Evaluation Checklist for the Pericapsular Nerve Group (PENG) Block: A Delphi Study.
Συγγραφείς: Mulero-Marrero D; CRNA at Christus Spohn Hospital, Corpus Chrisi, Texas. Email: Daniel.muleromarrero@mtsa.edu., Peterman C; CRNA at Cookeville Regional Medical Center, Cookville, Tennessee. Email: clinton.peterman@mtsa.edu; ccpeterman25@gmail.com., Terrault D; CRNA at Portland Veterans Affairs Hospital, Portland, Oregon. Email: david.terrault@mtsa.edu., Falyar C; Director of the Acute Surgical Pain Management Fellowship at the Middle Tennessee School of Anesthesia, Madison, Tennessee. Email: Christian.faylar@mtsa.edu., Harmon S; Research Library Assistant at Middle Tennessee School of Anesthesia, Madison, Tennessee. Email: sharon.harman@mtsa.edu., Evans H; Director of the Doctoral Completion Program at Middle Tennessee School of Anesthesia, Madison, Tennessee. Email: Hallie.evans@mtsa.edu.
Πηγή: AANA journal [AANA J] 2026 Aug 01; Vol. 94 (4), pp. 275-279.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: American Association of Nurse Anesthetists Country of Publication: United States NLM ID: 0431420 Publication Model: Print Cited Medium: Internet ISSN: 2162-5239 (Electronic) Linking ISSN: 00946354 NLM ISO Abbreviation: AANA J Subsets: MEDLINE
Imprint Name(s): Publication: Park Ridge, Ill. : American Association of Nurse Anesthetists
Original Publication: Chicago.
Ιατρικοί όροι (MeSH): Nerve Block*/standards , Nerve Block*/methods , Clinical Competence*/standards , Checklist* , Nurse Anesthetists*, Humans ; Delphi Technique ; Ultrasonography, Interventional ; Female ; Male ; Arthroplasty, Replacement, Hip
Περίληψη: 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 post-block 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.
(Copyright © 2026 by the American Association of Nurse Anesthesiology.)
Competing Interests: Name: Daniel Mulero-Marrero DNAP, APRN; Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Clinton Peterman DNAP, APRN; Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: David Terrault DNAP, APRN; Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Christian Falyar, DNAP, CRNA, FAANA; Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Sharon Harmon, MSN; Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Hallie Evans, DNP, CRNA, APRN, CNE; Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Although fellowship-trained regional anesthesia experts validated the checklist, their inclusion was essential to ensure content validity given the procedural complexity of the PENG block. The affiliated university independently managed expert recruitment, and participant identities remained anonymous to the researchers throughout the Delphi process. No funding or external financial support was received to complete this study.
Contributed Indexing: Keywords: PENG block; competency-based evaluation; opioid sparing; regional anesthesia; reproducibility; ultrasound
Entry Date(s): Date Created: 20260723 Date Completed: 20260723 Latest Revision: 20260803
Update Code: 20260803
DOI: 10.70278/AANAJ/.0000001067
PMID: 42490318
Βάση Δεδομένων: MEDLINE
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  Data: A Competency-Based Evaluation Checklist for the Pericapsular Nerve Group (PENG) Block: A Delphi Study.
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  Data: <searchLink fieldCode="AU" term="%22Mulero-Marrero+D%22">Mulero-Marrero D</searchLink>; CRNA at Christus Spohn Hospital, Corpus Chrisi, Texas. Email: Daniel.muleromarrero@mtsa.edu.<br /><searchLink fieldCode="AU" term="%22Peterman+C%22">Peterman C</searchLink>; CRNA at Cookeville Regional Medical Center, Cookville, Tennessee. Email: clinton.peterman@mtsa.edu; ccpeterman25@gmail.com.<br /><searchLink fieldCode="AU" term="%22Terrault+D%22">Terrault D</searchLink>; CRNA at Portland Veterans Affairs Hospital, Portland, Oregon. Email: david.terrault@mtsa.edu.<br /><searchLink fieldCode="AU" term="%22Falyar+C%22">Falyar C</searchLink>; Director of the Acute Surgical Pain Management Fellowship at the Middle Tennessee School of Anesthesia, Madison, Tennessee. Email: Christian.faylar@mtsa.edu.<br /><searchLink fieldCode="AU" term="%22Harmon+S%22">Harmon S</searchLink>; Research Library Assistant at Middle Tennessee School of Anesthesia, Madison, Tennessee. Email: sharon.harman@mtsa.edu.<br /><searchLink fieldCode="AU" term="%22Evans+H%22">Evans H</searchLink>; Director of the Doctoral Completion Program at Middle Tennessee School of Anesthesia, Madison, Tennessee. Email: Hallie.evans@mtsa.edu.
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  Data: <searchLink fieldCode="JN" term="%220431420%22">AANA journal</searchLink> [AANA J] 2026 Aug 01; Vol. 94 (4), pp. 275-279.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22American+Association+of+Nurse+Anesthetists%22">American Association of Nurse Anesthetists </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>0431420 <i>Publication Model: </i>Print <i>Cited Medium: </i>Internet <i>ISSN: </i>2162-5239 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2200946354%22">00946354 </searchLink><i>NLM ISO Abbreviation: </i>AANA J <i>Subsets: </i>MEDLINE
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  Data: <i>Publication</i>: Park Ridge, Ill. : American Association of Nurse Anesthetists<br /><i>Original Publication</i>: Chicago.
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  Data: <searchLink fieldCode="MM" term="%22Nerve+Block%22">Nerve Block*</searchLink>/<searchLink fieldCode="MM" term="%22Nerve+Block+standards%22">standards</searchLink> <br /><searchLink fieldCode="MM" term="%22Nerve+Block%22">Nerve Block*</searchLink>/<searchLink fieldCode="MM" term="%22Nerve+Block+methods%22">methods</searchLink> <br /><searchLink fieldCode="MM" term="%22Clinical+Competence%22">Clinical Competence*</searchLink>/<searchLink fieldCode="MM" term="%22Clinical+Competence+standards%22">standards</searchLink> <br /><searchLink fieldCode="MM" term="%22Checklist%22">Checklist*</searchLink> <br /><searchLink fieldCode="MM" term="%22Nurse+Anesthetists%22">Nurse Anesthetists*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Delphi+Technique%22">Delphi Technique</searchLink> ; <searchLink fieldCode="MH" term="%22Ultrasonography%2C+Interventional%22">Ultrasonography, Interventional</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Arthroplasty%2C+Replacement%2C+Hip%22">Arthroplasty, Replacement, Hip</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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 post-block 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.<br /> (Copyright © 2026 by the American Association of Nurse Anesthesiology.)
– Name: Abstract
  Label: Competing Interests
  Group: Ab
  Data: Name: Daniel Mulero-Marrero DNAP, APRN; Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Clinton Peterman DNAP, APRN; Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: David Terrault DNAP, APRN; Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Christian Falyar, DNAP, CRNA, FAANA; Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Sharon Harmon, MSN; Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Hallie Evans, DNP, CRNA, APRN, CNE; Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Although fellowship-trained regional anesthesia experts validated the checklist, their inclusion was essential to ensure content validity given the procedural complexity of the PENG block. The affiliated university independently managed expert recruitment, and participant identities remained anonymous to the researchers throughout the Delphi process. No funding or external financial support was received to complete this study.
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      – SubjectFull: Ultrasonography, Interventional
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