Why the study?
Older-old hip fracture patients with high ASA scores are highly sensitive to NSAID and opioid side effects, prompting investigation into the effectiveness of supra-inguinal fascia iliaca block in this population.
Does Supra-Inguinal Fascia Iliaca Block reduce 24-hour opioid consumption in older-old patients with hip fractures?
Population
Forty-one ASA III-IV older-old patients after hip fracture surgery under general anesthesia
Comparison
SIFIB + PCA vs PCA alone
Design
Retrospective study
Follow-up
24 hours
Authors
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Supports SIFIB for opioid sparing in geriatric hip fracture surgery; hypothesis-generating, requires RCTs before practice change.
Does Supra-Inguinal Fascia Iliaca Block reduce 24-hour opioid consumption in older-old patients with hip fractures?
Supra-inguinal fascia iliaca block significantly reduces opioid consumption and associated respiratory depression in older patients undergoing hip fracture surgery.
Bali et al. (2021) studied this question.
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