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Pre-operative pain management with nerve block in patients with hip fractures: a randomized, controlled trial
Örebro University, School of Health Sciences. Research and Development Centre, Skaraborg Hospital, Skövde, Sweden; University Health Care Research Centre, Region Örebro, Örebro, Sweden.ORCID iD: 0000-0001-7690-1735
Capio Movement, Halmstad, Sweden; Department of Orthopedics, Örebro University Hospital, Örebro, Sweden.
The Centre of Prehospital Research in Western Sweden, University College of Borås, Sweden; The Centre of Prehospital Research in Western Sweden, Sahlgrenska University Hospital, Gothenburg, Sweden.
Research and Development Centre, Skaraborg Hospital, Skövde, Sweden.
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2019 (English)In: International Journal of Orthopaedic and Trauma Nursing, ISSN 1878-1241, E-ISSN 1878-1292, Vol. 33, p. 35-43Article 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
Elsevier, 2019. Vol. 33, p. 35-43
Keywords [en]
Hip fractures, Pain, Nerve block, Pain management, Fascia iliaca compartment block, Analgesia
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-74410DOI: 10.1016/j.ijotn.2018.11.003ISI: 000467622900006PubMedID: 30876869Scopus ID: 2-s2.0-85065780869OAI: oai:DiVA.org:oru-74410DiVA, id: diva2:1318547
Note

Funding Agency:

Skaraborg Hospital - Örebro County Council

Available from: 2019-05-28 Created: 2019-05-28 Last updated: 2019-05-28Bibliographically approved

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Wennberg, PärMöller, Margareta

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