• Ugeskrift for laeger · Feb 2009

    [Fascia iliaca block performed by emergency department physician trainees in hip fractures].

    • Rasmus Wulff Hauritz, Christian Gerlif, and Ebbe Rønholm.
    • Anaestesiologisk Afdeling, Fredericia og Kolding Sygehuse, DK-6000 Kolding. rwh@dadlnet.dk
    • Ugeskr. Laeg. 2009 Feb 9;171(7):515-8.

    IntroductionPatients with hip fractures (HF) may have severe pain on arrival to the emergency department (ED) and have traditionally been treated with systemic opioids. The aim of this study was to investigate the effect of fascia iliaca compartment block (FICB) performed by ED physician trainees in patients with HF.Material And MethodsThis prospective study included 102 patients with femoral neck fractures. After arrival to the ED they received a FICB. The block was performed by ED physician trainees who injected a weight-adjusted amount of 5 mg/ml ropivacaine. Pain intensity at rest was registered immediately before the block (T0) and after one hour (T1) using a visual analogue scale (VAS). Adequate pain relief was defined as VAS ResultsPain intensity at rest was VAS 7 (IQR 5-8) and 3 (IQR 2-6) at T0 and T1, respectively (p < 0.001). At T1 32% of the patients had adequate pain relief (VAS ConclusionFICB performed by the ED trainees is a suitable method for acute pain relief in patients with HF, but only results in adequate pain relief at rest in 1/3 of the patients.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…