September 26, 2014Clinical and Experimental Emergency Medicine17 citationsOpen Access

Ultrasound-guided regional anesthesia for the pain management of elderly patients with hip fractures in the emergency department

Q: What is the clinical evidence from this study?

Study design: Case-Control. Population: Hip fractures (n=47). Intervention: Ultrasound-guided regional anesthesia (three-in-one femoral block) vs. Intravenous morphine. Primary outcome: Successful pain control (pain score < 4 within 4 hours) (p=<0.001).

HLHee Kyung Lee BKBo Seung Kang CKChangsun Kim

Key Result

Ultrasound-guided regional anesthesia achieved successful pain control in 96.0% of elderly hip fracture patients compared to 40.9% with intravenous morphine.

Study Design

Type

Case-Control (n=47)

Blinding

Open-label

Randomization

None

Multicenter

PICO

Population

Hip fractures (n=47)

Intervention / Comparator

Ultrasound-guided regional anesthesia (three-in-one femoral block) vs Intravenous morphine (20 mL of 0.5% bupivacaine)

Primary Outcome

Successful pain control (pain score < 4 within 4 hours), p=<0.001

Main Result

Absolute Event Rate: 96% vs 40.9%

p-value: p=<0.001

Limitations

Patients were recruited from only one emergency medical center.
The number of subjects was relatively small.
Only two practitioners performed regional anesthesia, potentially overestimating its effect and underestimating complications.
Non-randomized, unblinded study design introduces potential selection bias.
The dose of morphine used in the control group may not have been high enough to adequately control pain.

Abstract

Objective We examined the pain-relieving effect of ultrasound-guided regional anesthesia performed by emergency physicians on elderly hip fracture patients.

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Cite This Study

Lee et al. (2014) conducted a case-control in Hip fractures (n=47). Ultrasound-guided regional anesthesia (three-in-one femoral block) vs. Intravenous morphine was evaluated on Successful pain control (pain score < 4 within 4 hours) (p=<0.001). Ultrasound-guided regional anesthesia achieved successful pain control in 96.0% of elderly hip fracture patients compared to 40.9% with intravenous morphine.

synapsesocial.com/papers/6a0ad52f9b4eb2f7ce2e1ed2 https://doi.org/10.15441/ceem.14.008

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September 26, 2014Clinical and Experimental Emergency Medicine17 citationsOpen Access

Ultrasound-guided regional anesthesia for the pain management of elderly patients with hip fractures in the emergency department

HLHee Kyung Lee BKBo Seung Kang CKChangsun Kim

Key Result

Ultrasound-guided regional anesthesia achieved successful pain control in 96.0% of elderly hip fracture patients compared to 40.9% with intravenous morphine.

Study Design

Type

Case-Control (n=47)

Blinding

Open-label

Randomization

None

Multicenter

PICO

Population

Hip fractures (n=47)

Intervention / Comparator

Ultrasound-guided regional anesthesia (three-in-one femoral block) vs Intravenous morphine (20 mL of 0.5% bupivacaine)

Primary Outcome

Successful pain control (pain score < 4 within 4 hours), p=<0.001

Main Result

Absolute Event Rate: 96% vs 40.9%

p-value: p=<0.001

Limitations

Patients were recruited from only one emergency medical center.
The number of subjects was relatively small.
Only two practitioners performed regional anesthesia, potentially overestimating its effect and underestimating complications.
Non-randomized, unblinded study design introduces potential selection bias.
The dose of morphine used in the control group may not have been high enough to adequately control pain.

Abstract

Objective We examined the pain-relieving effect of ultrasound-guided regional anesthesia performed by emergency physicians on elderly hip fracture patients.

Ask AI

Helpful

Bookmark

View Full Paper

Cite This Study

synapsesocial.com/papers/6a0ad52f9b4eb2f7ce2e1ed2 https://doi.org/10.15441/ceem.14.008

Ask AI

Helpful

Bookmark

View Full Paper