- 作者：Lawrence Haines ; Eitan Dickman ; Sergey Ayvazyan ; Michelle Pearl ; Stanley Wu ; David Rosenblum ; Antonios Likourezos
- 关键词：hip fracture ; emergency medicine ; ultrasound ; nerve block ; fascia iliaca compartment block ; regional anesthesia
- 刊名：Journal of Emergency Medicine
- 出版年：2012
- 出版时间：October, 2012
- 年：2012
- 卷：43
- 期：4
- 页码：692-697
- 全文大小：257 K
Background
Hip fracture (HFx) is a painful injury that is commonly seen in the emergency department (ED). Patients who experience pain from HFx are often treated with intravenous opiates, which may cause deleterious side effects, particularly in elderly patients. An alternative to systemic opioid analgesia involves peripheral nerve blockade. This approach may be ideally suited for the ED?environment, where one injection could control pain for many hours.Objectives
We hypothesized that an ultrasound-guided fascia iliaca compartment block (UFIB) would provide analgesia for patients presenting to the ED with pain from HFx and that this procedure could be performed safely by emergency physicians (EP) after a brief training.
Methods
In this prospective, observational, feasibility study, a convenience sample of 20 cognitively intact patients with isolated HFx had a UFIB performed. Numerical pain scores, vital signs, and side effects were recorded before and after administration of the UFIB at pre-determined time points for 8 h.
Results
All patients reported decreased pain after the nerve block, with a 76 % reduction in mean pain score at 120 min. There were no procedural complications.
Conclusion
In this small group of ED patients, UFIB provided excellent analgesia without complications and may?be a useful adjunct to systemic pain control for HFx.