Why the study?
Patients with hip fracture presenting to the AED require transfer to a tertiary centre involving painful repeated bed transfers, making opioid-sparing analgesia via ultrasound-guided FICB desirable.
A multidisciplinary protocol for ultrasound-guided fascia iliaca compartment block can be successfully developed for implementation in an emergency department setting to provide opioid-sparing analgesia for hip fractures.
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Adoption starting May 2025 can reduce opioid exposure for ED hip fracture patients; extends multidisciplinary implementation models to ultrasound-guided blocks.
Background Patients with hip fracture presenting at accident and emergency department (AED) of North Lantau Hospital (NLTH) require transfer to a tertiary centre, and the repeated bed transfers involved are painful to the patients. Ultrasound‐guided fascia iliaca compartment block (FICB) is a regional anaesthetic technique for effective opioid‐sparing analgesia. Objective To describe the development, implementation strategies of a formal FICB program for adult hip fracture patients in the AED of NLTH. Methods A multidisciplinary group, consisting of anaesthetic expertise, developed a clinical guideline for FICB. Implementation featured prepacked procedural kits, staff education and a competency‐based physician credentialing pathway. The protocol was formally started since 1 May 2025. Results A protocol and checklist were developed for implementation, starting from 1 May 2025. Conclusion Fascia iliaca block can be delivered at AED with the support of a multidisciplinary team and well‐defined protocol. This model serves as a blueprint for adopting this opioid‐sparing modality as the standard of care across AEDs in Hong Kong for better patient management.
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Lau et al. (2026) studied Hip fracture. Ultrasound-guided fascia iliaca compartment block (FICB) program was evaluated. A formal ultrasound-guided fascia iliaca compartment block program and checklist were developed for adult hip fracture patients in the emergency department.
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