Key result
Preoperative fascia iliaca compartment block significantly decreased postoperative morphine consumption compared to control (0.4 mg vs. 19.4 mg, P=0.05) in geriatric patients with hip fractures.
Why the study?
The study was conducted to determine whether a preoperative fascia iliaca compartment block decreases postoperative pain and improves functional recovery after hip fracture surgery.
Does ultrasound-guided fascia iliaca compartment block reduce postoperative pain medication consumption in geriatric patients with proximal femur fractures?
Comparison
Ultrasound-guided fascia iliaca compartment block vs control
Design
Randomized prospective trial
Follow-up
Postoperative day 3
Authors
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Preoperative fascia iliaca block should not yet change hip fracture protocols; leaves open efficacy in larger randomized trials.
RCT (n=47)
prospectively randomized
No
Does ultrasound-guided fascia iliaca compartment block reduce postoperative pain medication consumption in geriatric patients with proximal femur fractures?
Absolute Event Rate: 0.4% vs 19.4%
p-value: p=0.05
Preoperative fascia iliaca compartment block significantly reduces postoperative morphine consumption and improves patient satisfaction in geriatric patients undergoing hip fracture surgery.
Thompson et al. (2019) conducted an RCT in hip fracture (n=47). ultrasound-guided fascia iliaca compartment block vs. control was evaluated on postoperative pain medication consumption until postoperative day 3 (p=0.05). Preoperative fascia iliaca compartment block significantly decreased postoperative morphine consumption compared to control (0.4 mg vs. 19.4 mg, P=0.05) in geriatric patients with hip fractures.
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