What question did this study set out to answer?

To evaluate the clinical uptake, analgesic efficacy, and safety of implementing the fascia iliaca compartment block (FICB) for patients presenting with hip fractures across two hospital sites.

June 19, 2014European Journal of Emergency Medicine

Fascia iliaca compartment block for hip fractures

View Full Paper

Ask AI

Bookmark

To evaluate the clinical uptake, analgesic efficacy, and safety of implementing the fascia iliaca compartment block (FICB) for patients presenting with hip fractures across two hospital sites.
Conducted a continuous clinical audit across two hospital sites to assess organizational uptake, documentation practices, and adverse events of FICB performed using the loss of resistance technique.
Compared outcomes between patients receiving FICB (n=326) and a historical control group receiving standard care (n=100) using the Numerical Rating Scale for pain and tracking opiate requirements.
FICB significantly decreased Numerical Rating Scale pain scores (P<0.001) and reduced opiate requirements (P<0.0001) compared with standard care controls.
Acute length of stay fell from 15.0 days in the control group to 9.9 days in the FICB group, while inpatient mortality dropped from 15.0% to 5.5% (P=0.0024).
Organizational uptake reached 75.1% (326/434 audited patients), with only two cases of local anesthetic toxicity documented among 1,586 evaluated procedures.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Clinical audit demonstrates reduced pain, opiate use, and mortality with fascia iliaca block in hip fracture patients, highlighting its utility as a safe preoperative analgesic procedure.

Cite This Study

Lees et al. (2014) studied this question.

synapsesocial.com/papers/6a816712461989f0134d8fb5 https://doi.org/10.1097/mej.0000000000000167

View Full Paper

Ask AI

Bookmark

Implication

Clinical audit demonstrates reduced pain, opiate use, and mortality with fascia iliaca block in hip fracture patients, highlighting its utility as a safe preoperative analgesic procedure.

Fascia iliaca compartment block for hip fractures

Key Points

Discussion

Implication

Cite This Study

Fascia iliaca compartment block for hip fractures

Key Points

Discussion

Implication

Cite This Study

Also Consider

Also Consider