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Pre-operative pain management with nerve block in patients with hip fractures: a randomized, controlled trial.
Research and Development Centre, Skaraborg Hospital, Skövde.
Capio Movement, Halmstad, Sweden; Department of Orthopedics, Örebro University Hospital, and Örebro University.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.ORCID iD: 0000-0003-4139-6235
Research and Development Centre, Skaraborg Hospital, Skövde.
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2019 (English)In: International Journal of Orthopaedic and Trauma Nursing, ISSN 1878-1241, E-ISSN 1878-1292, Vol. 33, p. 35-43, article id S1878-1241(18)30001-7Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Pain management in patients with hip fractures is a major challenge for emergency care. The objective of this study was to evaluate whether the supplementation of pre-operative analgesia with low-dose fascia iliaca compartment block (FICB) compared with placebo would improve pain relief in patients with hip fractures.

METHODS: A double-blind, randomized, controlled trial was conducted on 127 patients. At hospital admission, a low-dose FICB was administered to patients with hip fractures as a supplement to regular pre-operative analgesia. Patients with and without cognitive impairment were included. The instruments used were a visual analogue scale (VAS), a numerical rating scale and a tool for behavior related pain assessment. The primary endpoint was the change in reported pain on movement from hospital admission to two hours after FICB.

RESULTS: The intervention group showed improved pain management by mean VAS score for pain on movement compared with the control group (p = 0.002).

CONCLUSIONS: Our results support the use of low-dose FICB as a pain-relieving adjuvant to other analgesics when administered to patients with a hip fracture.

Place, publisher, year, edition, pages
2019. Vol. 33, p. 35-43, article id S1878-1241(18)30001-7
Keywords [en]
Analgesia, Fascia iliaca compartment block, Hip fractures, Nerve block, Pain, Pain management
National Category
Orthopaedics
Research subject
Människan i vården; Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-22170DOI: 10.1016/j.ijotn.2018.11.003ISI: 000467622900006PubMedID: 30876869Scopus ID: 2-s2.0-85065780869OAI: oai:DiVA.org:hb-22170DiVA, id: diva2:1376420
Available from: 2019-12-09 Created: 2019-12-09 Last updated: 2019-12-19Bibliographically approved

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Herlitz, Johan

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