Key result
Fascia-iliac blocks significantly reduced pain scores at 2 and 8 hours preoperatively (P≤0.05) and shortened time to initial analgesia (25 vs 40 minutes) compared to systemic analgesia.
Why the study?
Do fascia iliaca blocks delivered by junior doctors improve pain management compared to systemic analgesia in patients with hip fractures?
Population
104 consecutive hip fracture patients
Comparison
Fascia iliaca blocks delivered by junior doctors vs Systemic analgesia
Design
Case-control
Follow-up
24 hours preoperatively
Authors
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May aid preoperative analgesia in hip fractures when performed by juniors; hypothesis-generating, needs RCTs before practice change.
Case-Control (n=104)
Do fascia iliaca blocks delivered by junior doctors improve pain management compared to systemic analgesia in patients with hip fractures?
p-value: p=≤0.05
Fascia iliaca blocks performed by junior doctors are safe, effective, and provide faster analgesia with lower pain scores compared to systemic analgesia in hip fracture patients.
Hanna et al. (2014) conducted a case-control in Hip fractures (n=104). Fascia-iliac blocks (FIB) vs. Systemic analgesia was evaluated on Pain scores from admission to 24 hours preoperatively (p=≤0.05). Fascia-iliac blocks significantly reduced pain scores at 2 and 8 hours preoperatively (P≤0.05) and shortened time to initial analgesia (25 vs 40 minutes) compared to systemic analgesia.
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