期刊
JOURNAL OF ORTHOPAEDIC TRAUMA
卷 33, 期 4, 页码 175-179出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/BOT.0000000000001391
关键词
fragility hip fracture; femoral nerve block; opioid sparing
Objective: To determine whether an effective opioid-sparing pain control modality is desirable for an aging population. Design: Retrospective observational study Setting: Academic medical center Patients: 192 patients with various types of fragility hip fractures Intervention: A single-injection femoral nerve block (FNB) Main outcome measurements: Pain score, opioid consumption Results: We observed statistically significant effects of FNB on visual analogue scale pain score and the rate of opioid consumption diminution in all commonly encountered types of fragility hip fractures. The pain score reduction by FNB in subcapital femoral neck fracture, transcervical femoral neck facture, and intertrochanteric fracture are all statistically significant (P, 0.0001). There was a statistically more significant pain score reduction in intracapsular fractures than in extracapsular fractures (P = 0.006). On average, the hip fracture patients required 0.9 and 0.1 mg morphine equivalent/hour before and after FNB block placement. This decrease in opioid consumption when calculated per unit time was statistically significant in subcapital femoral neck fracture, transcervical femoral neck facture, and intertrochanteric fracture (P, 0.0001). There were no complications related to FNB placement. Conclusions: FNB is a sustainable, safe, and useful analgesic modality for commonly encountered fragility hip fractures.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据