Key result
Ultrasound-guided femoral nerve blocks and fascia iliaca compartment blocks provide rapid pain control with longer duration and fewer adverse effects than systemic opioids for proximal femur fractures.
Why the study?
Systemic opioid analgesics for proximal femur fractures carry a significant burden of potential adverse effects, necessitating alternative acute pain management approaches.
Do ultrasound-guided femoral nerve blocks and fascia iliaca compartment blocks improve pain control and safety compared to systemic opioids in patients with proximal femur fractures in the emergency department?
Comparison
FNB and FICB vs systemic opioid analgesics
Design
Review of literature
Authors
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FNBs/FICB may reduce opioid exposure for ED PFF pain; leaves open need for RCTs before practice change.
Do ultrasound-guided femoral nerve blocks and fascia iliaca compartment blocks improve pain control and safety compared to systemic opioids in patients with proximal femur fractures in the emergency department?
Ultrasound-guided femoral nerve blocks and fascia iliaca compartment blocks offer an effective and safer alternative to systemic opioids for acute pain management in patients with proximal femur fractures in the emergency department.
Nagel et al. (2019) conducted a review in Proximal femur fractures. Ultrasound-guided femoral nerve blocks and fascia iliaca compartment blocks vs. Systemic opioid analgesics was evaluated. Ultrasound-guided femoral nerve blocks and fascia iliaca compartment blocks provide rapid pain control with longer duration and fewer adverse effects than systemic opioids for proximal femur fractures.
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