Why the study?
Does general anaesthesia combined with triple nerve block reduce postoperative opioid requirements in patients with fractured neck of femur compared to general anaesthesia with opioid supplementation?
Does general anaesthesia combined with triple nerve block reduce postoperative opioid requirements in patients with fractured neck of femur compared to general anaesthesia with opioid supplementation?
Triple nerve block combined with general anesthesia significantly reduces postoperative opioid requirements in patients undergoing surgery for fractured neck of femur.
Supports triple nerve block with general anesthesia to reduce postoperative opioids after hip fracture repair; confirms efficacy in this elderly population.
Fifty patients with fractured neck of femur that required surgical correction with either a compression screw or pin and plate device were randomly allocated to receive one of two anaesthetic techniques, general anaesthesia combined with either opioid supplementation or triple nerve block (three in one block) with subcostal nerve block. The nerve blocks significantly reduced the quantity of opioid administered after operation; 48% of these patients required no additional analgesia in the first 24 hours. Plasma prilocaine levels in these patients were well below the toxic threshold, and peak absorption occurred 20 minutes after the injection. No untoward sequelae were associated with the nerve blocks.
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Hood et al. (1991) studied this question.
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