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Commonplace preoperative analgesia with or with out fascia iliaca compartment block for femoral neck fractures.
J Orthop Surg (Hong Kong). 2016 Apr;24(1):31-5
Authors: Williams H, Paringe V, Shenoy S, Michaels P, Ramesh B
Summary
PURPOSE: To match the visible analogue rating (VAS) for ache in sufferers with femoral neck fracture who acquired commonplace preoperative analgesia with or with out fascia iliaca compartment block (FICB).
METHODS: In sufferers with femoral neck fracture, 69 sufferers who acquired commonplace preoperative analgesia (common paracetamol 1g four instances a day, codeine 60 mg four instances a day, and opioid 10 mg 2 hourly as required) had been in contrast with 50 sufferers who acquired commonplace preoperative analgesia plus FICB. VAS for ache at relaxation and on motion (hip flexion) was assessed earlier than FICB and 15 minutes, 2 and eight hours after FICB. The quantity of extra opioid required and the incidence of opioid overdose (necessitating administration of naloxone) had been decided.
RESULTS: VAS for ache was considerably decrease after commonplace analgesia plus FICB than commonplace analgesia alone (p=zero.001). The analgesic impact (pre-score minus post-score) of normal analgesia plus FICB didn’t differ between genders (p=zero.57) or fracture patterns (p=zero.79). 19 (38%) sufferers with commonplace analgesia plus FICB required no extra opioid analgesia. In contrast with commonplace analgesia alone, addition of FICB lowered the imply dose of opioid from 6.2 to 2.zero (p=zero.001) and the variety of opioid overdose from 7.2% to zero% (p=zero.001). No affected person had any complication following FICB.
CONCLUSION: In sufferers with femoral neck fracture, FICB lowered the necessity for added opioid analgesia and averted the chance of opioid overdose and respiratory despair.
PMID: 27122509 [PubMed – indexed for MEDLINE]