Pre‐operative nerve blocks for hip fracture – 1

Pre‐operative femoral nerve block vs fascia iliaca block for femoral neck fracture – a reply

“…Gupta and Cook's case report [1] highlighting neuroglycopenia due to accidental use of a glucose-containing arterial flush solution questions the effectiveness of the 2008 National Patient Safety Agency (NPSA) recommendations [2]. Leslie et al's related national survey, in which 30% of respondents were aware of a local incident concerning incorrect arterial flush solution, reinforces these concerns [3].…”

“…On behalf of my co-authors, I should like to thank all the correspondents for their comments [1][2][3][4][5][6][7][8][9] in response to our paper that compared pre-operative fascia iliaca and femoral nerve block in patients with a femoral neck fracture [10], and will attempt to respond to all the issues raised. Several correspondents have noted that the doses and dilutions used for both nerve stimulatorguided femoral nerve and fascia iliaca compartment blocks were the same, whereas it is customary to perform compartment blocks with a larger volume of more dilute drug.…”

“…On behalf of my co‐authors, I should like to thank all the correspondents for their comments in response to our paper that compared pre‐operative fascia iliaca and femoral nerve block in patients with a femoral neck fracture , and will attempt to respond to all the issues raised.…”