Ultrasound-guided training on Fascia Iliaca Compartment Block and Pericapsular Nerve Group Block for 5th -year medical students using soft cadavers
Dublin Core
Title
Ultrasound-guided training on Fascia Iliaca Compartment Block and Pericapsular Nerve Group Block for 5th -year medical students using soft cadavers
Subject
Ultrasound-guided nerve block, Fascia Iliaca Compartment Block, Pericapsular Nerve Group Block, Medical
education
education
Description
Background Ultrasound-guided Fascia Iliaca Compartment Block (FICB) and Pericapsular Nerve Group (PENG)
Block are effective, non-addictive pain management methods for older adults with hip fractures. To address the
opioid adverse events such as delirium, alternative pain management techniques are essential. This study aimed to
evaluate the effectiveness of a hands-on ultrasound-guided workshop in improving medical students’ competence in
performing FICB and PENG blocks.
Methods A one-group pretest–posttest design involving 72 participants was employed. Fifth-year medical students
enrolled in a geriatric medicine rotation participated in a half-day workshop comprising theoretical instruction and
hands-on ultrasound practice using soft cadavers. Competency (ultrasound images, indications and contraindications,
and performance on cadaver) was assessed by an emergency physician trained in ultrasound-guided nerve block.
Results A total of 72 participants were enrolled to our study. The ability to identify anatomy via ultrasound image
improved significantly (mean score before training: 0.9/5 points±0.8, mean score after training: 4.0/5 points±1.2,
mean difference (95%CI): 3.1 (2.9 to 3.4), p<0.001). Confidence in identifying landmarks and performing FICB and
PENG blocks also improved significantly (mean score before training: 0.6/5 points Likert Scale±0.8, mean score after
training: 3.5/5 points Likert Scale±0.9, p<0.001). The total performance score after training significantly improved,
with a mean score 20.3/24 points.
Conclusions Medical students can acquire the skills to perform ultrasound-guided PENG and FICB blocks for hip
fractures in older adults through targeted teaching sessions. These findings support the inclusion of PENG and FICB
blocks in medical curricula or any geriatric rotation focused on pain management.
Keywords Ultrasound-guided nerve block, Fascia Iliaca Compartment Block, Pericapsular Nerve Group Block, Medical
education
Block are effective, non-addictive pain management methods for older adults with hip fractures. To address the
opioid adverse events such as delirium, alternative pain management techniques are essential. This study aimed to
evaluate the effectiveness of a hands-on ultrasound-guided workshop in improving medical students’ competence in
performing FICB and PENG blocks.
Methods A one-group pretest–posttest design involving 72 participants was employed. Fifth-year medical students
enrolled in a geriatric medicine rotation participated in a half-day workshop comprising theoretical instruction and
hands-on ultrasound practice using soft cadavers. Competency (ultrasound images, indications and contraindications,
and performance on cadaver) was assessed by an emergency physician trained in ultrasound-guided nerve block.
Results A total of 72 participants were enrolled to our study. The ability to identify anatomy via ultrasound image
improved significantly (mean score before training: 0.9/5 points±0.8, mean score after training: 4.0/5 points±1.2,
mean difference (95%CI): 3.1 (2.9 to 3.4), p<0.001). Confidence in identifying landmarks and performing FICB and
PENG blocks also improved significantly (mean score before training: 0.6/5 points Likert Scale±0.8, mean score after
training: 3.5/5 points Likert Scale±0.9, p<0.001). The total performance score after training significantly improved,
with a mean score 20.3/24 points.
Conclusions Medical students can acquire the skills to perform ultrasound-guided PENG and FICB blocks for hip
fractures in older adults through targeted teaching sessions. These findings support the inclusion of PENG and FICB
blocks in medical curricula or any geriatric rotation focused on pain management.
Keywords Ultrasound-guided nerve block, Fascia Iliaca Compartment Block, Pericapsular Nerve Group Block, Medical
education
Creator
Jiraporn Sri-on1*, Worawit Vanichkulbodee2
, Thitarat Worawiwat3
, Kulwiwat Pakjilayuwat4
, Alissara Vanichkulbodee3
,
Pacharee Piyachan3
and Shan Woo Liu5
, Thitarat Worawiwat3
, Kulwiwat Pakjilayuwat4
, Alissara Vanichkulbodee3
,
Pacharee Piyachan3
and Shan Woo Liu5
Date
2025
Contributor
Peri Irawan
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Collection
Citation
Jiraporn Sri-on1*, Worawit Vanichkulbodee2
, Thitarat Worawiwat3
, Kulwiwat Pakjilayuwat4
, Alissara Vanichkulbodee3
,
Pacharee Piyachan3
and Shan Woo Liu5, “Ultrasound-guided training on Fascia Iliaca Compartment Block and Pericapsular Nerve Group Block for 5th -year medical students using soft cadavers,” Repository Horizon University Indonesia, accessed April 16, 2026, https://repository.horizon.ac.id/items/show/13222.