Fascia iliaca compartment block reduces morphine requirement pre-operatively for patients with fractured neck of femur

Leeper, Alexander; Brandon, P.T.; Morgan, A.V.M; Cutts, Steven; Cohen, Ayala

doi:10.1007/s00068-012-0230-x

Cited by 16 publications

(14 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another study showed that FICNB reduces the requirement of morphine by 41% compared to those patients who received systemic analgesia (P=0.018). [9] The difference might be due to only few patients who were given opioid analgesia at the postoperative period in our hospital.…”

Section: Discussionmentioning

confidence: 92%

See 1 more Smart Citation

Efficacy of fascia iliaca compartment nerve block as part of multimodal analgesia after surgery for femoral bone fracture

Kumie

Gebremedhn

Tawuye

2015

World Journal of Emergency Medicine

View full text Add to dashboard Cite

BACKGROUND: Fascia iliaca compartment nerve block (FICNB) has been an established technique for postoperative analgesia after surgery for femoral bone fracture. FICNB is technically easy, effective for postoperative pain control after operation for femoral bone fracture and decreases the complications induced by systemic analgesic drugs. The severity of postoperative pain is affected by genetics, cultural and social factors across the world. In this study we assessed the efficacy of fascia iliaca compartment nerve block when it is used as part of multimodal analgesia after surgery for femoral bone fracture. METHODS:An institution-based case control study was conducted from September, 2013 to May, 2014. All patients who had been operated on under spinal anesthesia for femoral bone fracture were included. The patients divided into a FICNB group (n=20) and a control group (n=20). The FICNB group was given 30 mL of 0.25% bupivacaine at the end of the operation. Postoperative pain was assessed within the fi rst 24 hours, i.e. at 15 minutes, 2 hours, 6 hours, 12 hours and 24 hours using 100 mm visual analogue scale (VAS), total analgesic consumption, and the time for the fi rst analgesic request.RESULTS: VAS pain scores were reduced within the fi rst 24 hours after operation in the FICNB group compared wtih the control group. VAS scores at 2 hours were taken as median values (IQR) 0.00 (0.00) vs.18.00 (30.00), P=0.001; at 6 hours 0.00 (0.00) vs. 34.00 (20.75), P=0.000; at 24 hours 12.50 (10.00) vs. 31.50 (20.75), P=0.004; and at 12 hours (17.80±12.45) vs. (29.95±12.40), P=0.004, respectively. The total analgesic consumption of diclofenac at 12 and 24 hours was reduced in the FICNB group, and the time for the fi rst analgesic request was signifi cantly prolonged (417.50 vs. 139.25 minutes, P=0.000).CONCLUSIONS: A single injection for FICNB could lead to postoperative pain relief, reduction of total analgesic consumption and prolonged time for the fi rst analgesic request in the FICNB group after surgery for femoral bone fracture. We recommend FICNB for analgesia after surgery for femoral bone fracture and for patients with femoral bone fracture at the emergency department.

show abstract

Section: Discussionmentioning

confidence: 92%

“…The two pop techniques are appreciated blindly while passing the fascia lata and fascia iliaca. [7][8][9] The FICNB has proved to be an easy and safe technique. It is free from complications because of the major nerves and vessels are far from the site of needle insertion.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of fascia iliaca compartment nerve block as part of multimodal analgesia after surgery for femoral bone fracture

Kumie

Gebremedhn

Tawuye

2015

World Journal of Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…Foss et al describe their operators as anaesthetists with 2 years experience, whilst Monzón et al (2007Monzón et al ( , 2010 describe the operator as a 'physician'. Leeper (2007), Høgh et al (2008), Elkhodair et al (2011) Lees et al (2014 and Hanna et al (2014) use a mixture of ED junior medical staff and middle grades who have received a variety of training or possessed differing amounts of previous experience. Obideyi et al (2008) describes a nurse led FICB service and this was the only paper referring to this in a hospital setting pre surgery.…”

Section: Resultsmentioning

confidence: 97%

Fascia Iliaca (FICB) block in the emergency department for adults with neck of femur fractures: A review of the literature

Pinson

2015

International Emergency Nursing

View full text Add to dashboard Cite

“…Among those studies reviewed, those that utilised ultrasound guidance and sampled a large patient population demonstrated the most significant positive effects of regional blockade. There is also consistent evidence that the use of regional nerve blocks can reduce the consumption of opiates following hip fracture , and reduce the incidence of opiate side‐effects and overdose .…”

Section: Methodsmentioning

confidence: 89%

“…To facilitate the translation of evidence into practice, these issues need to be addressed with support from administrators, policy makers, clinicians and funders. Education and training is vital to ensure that knowledge, confidence and competency in best‐practice nerve block techniques remain high among emergency staff . Identifying local champions, trainers and auditors could be a useful way to initiate change and shift thinking from a universal reliance on opiates for the management of acute pain in the elderly .…”

Section: Discussionmentioning

confidence: 99%

Regional nerve blockade for early analgesic management of elderly patients with hip fracture – a narrative review

et al. 2017

View full text Add to dashboard Cite

Elderly patients with hip fracture experience high morbidity and mortality, and are often undertreated for pain. Acute pain management in the elderly is challenging, with physiological frailty, medical comorbidities and cognitive impairment commonly compounding pain assessment and treatment. Guidelines outlining current best practice for acute pain management in the elderly now exist, but evidence suggests that practice remains variable and there continues to be scope for improvement. We conducted a narrative review of the literature to examine the challenges of acute pain management in the elderly, and to evaluate evidence for the role of regional nerve blocks for acute pain associated with hip fracture in the elderly. There is consistent evidence that regional nerve blocks can effectively reduce pain associated with hip fracture, providing rapid-onset, site-specific analgesia that is more effective than standard systemic analgesia alone. There is also moderate evidence that nerve blocks may contribute to reduced rates of delirium, and some suggestion of reduced length of inpatient stay, morbidity and mortality, although limited evidence is available. Fascia iliaca blocks are emerging as a block of choice, with evidence they can be safely and rapidly administered under ultrasound guidance in the acute setting, by both trained medical and nursing staff, with good effect. Ideally, comprehensive pain protocols for elderly hip fracture patients are required, that integrate evidence-based fascia iliaca block use, timely and repeated pain assessment, and multidisciplinary orthogeriatric patient care.

show abstract

Fascia iliaca compartment block reduces morphine requirement pre-operatively for patients with fractured neck of femur

Abstract: Fascia iliaca compartment block is a safe and effective method of providing analgesia to patients with fractured neck of femur and reduces morphine requirement.

Cited by 16 publications

References 16 publications

Efficacy of fascia iliaca compartment nerve block as part of multimodal analgesia after surgery for femoral bone fracture

Efficacy of fascia iliaca compartment nerve block as part of multimodal analgesia after surgery for femoral bone fracture

Fascia Iliaca (FICB) block in the emergency department for adults with neck of femur fractures: A review of the literature

Regional nerve blockade for early analgesic management of elderly patients with hip fracture – a narrative review

Contact Info

Product

Resources

About