Key result
Ultrasound-guided fascia iliaca compartment block achieved a ≥50% reduction in VAS pain scores in 97.2% (95% CI 92.9-99.1%) of emergency department patients with peritrochanteric hip fractures.
Why the study?
Hip fractures cause moderate-to-severe pain that is frequently managed inadequately in emergency departments.
Does ultrasound-guided fascia iliaca compartment block improve pain control in patients with peritrochanteric hip fractures in the emergency department?
Population
142 ED patients with peritrochanteric hip fractures and baseline VAS score >= 4
Comparison
Ultrasound-guided fascia iliaca compartment block
Design
Prospective observational study
Follow-up
6 h
Authors
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Supports ED FIB by trained EPs for hip fracture pain; leaves open confirmation in randomized trials.
Observational (n=142)
Does ultrasound-guided fascia iliaca compartment block improve pain control in patients with peritrochanteric hip fractures in the emergency department?
Ultrasound-guided fascia iliaca compartment block administered by emergency physicians provides significant and sustained analgesia for peritrochanteric hip fractures with minimal need for rescue opioids.
Vinayak et al. (2026) conducted an observational in Peritrochanteric hip fractures (n=142). Ultrasound-guided fascia iliaca compartment block (FIB) was evaluated on ≥ 50% reduction in VAS (95% CI 92.9-99.1). Ultrasound-guided fascia iliaca compartment block achieved a ≥50% reduction in VAS pain scores in 97.2% (95% CI 92.9-99.1%) of emergency department patients with peritrochanteric hip fractures.
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