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

Autor: A. V. M. Morgan, S. Cutts, A. D. Leeper, A. M. M. Cohen, P. T. Brandon
Rok vydání: 2012
Předmět:
Zdroj: European journal of trauma and emergency surgery : official publication of the European Trauma Society. 38(6)
ISSN: 1863-9933
Popis: Fascia iliaca compartment block, performed in the emergency department (A&E) in patients presenting with femoral neck fracture, has gained increasing recognition as an adjunctive analgesic. The purpose of this study was to investigate whether fascia iliaca block (FIB) significantly reduced the requirement for systemic opiates in the pre-operative setting. Analgesia requirements for all patients admitted with fractured neck of femur to one unit over a 9-month period were gathered prospectively. Fifty percent of patients had received FIB at diagnosis in the A&E, dependant on the expertise of the attending physician. Morphine administration between groups was analysed. Over a 9-month period, 286 patients with complete documentation were admitted with fractured neck of femur. At the start of the study, an informal education programme in A&E was introduced, increasing the incidence of FIB provision at diagnosis (p =
Databáze: OpenAIRE