Key result
Pre-operative single-shot femoral nerve block significantly decreased pain scores compared to systemic analgesia in hip fracture patients (MD -2.13 cm; 95% CI -3.53 to -0.72).
Why the study?
Pre-operative pain management of hip fracture patients is complex, motivating a systematic investigation of the efficacy of single-shot femoral nerve block in this population.
Does pre-operative single-shot femoral nerve block reduce pre-operative pain and use of rescue analgesics in patients with hip fractures compared to systemic analgesia?
Meta-Analysis (n=254)
Does pre-operative single-shot femoral nerve block reduce pre-operative pain and use of rescue analgesics in patients with hip fractures compared to systemic analgesia?
Mean Difference: -2.13 (95% CI -3.53–-0.72)
Pre-operative single-shot femoral nerve block may decrease pain scores compared to systemic analgesia in hip fracture patients, though the evidence is of low certainty and high risk of bias.
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May support pre-op pain relief in hip fractures; leaves open confirmation on rescue analgesia and practice change due to low-certainty evidence.
Skjold et al. (2019) conducted a meta-analysis in Hip fracture (n=254). Pre-operative single-shot femoral nerve block vs. Systemic analgesics (e.g., opioids, NSAIDs, or paracetamol) was evaluated on Pre-operative pain (MD -2.13, 95% CI -3.53, -0.72). Pre-operative single-shot femoral nerve block significantly decreased pain scores compared to systemic analgesia in hip fracture patients (MD -2.13 cm; 95% CI -3.53 to -0.72).
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