Fascia Iliaca Blocks and Pre-operative Opioid Requirements in Hip Fracture Patients

Pre-operative Fascia Iliaca Blocks and Opioid Requirements in Hip Fracture Patients

The purpose of this study is to determine if non-continuous local anesthetic fascia iliaca blocks performed in the emergency department are effective for preoperative analgesia in hip fracture patients. Investigators hypothesize that patients with these blocks will have lower opioid requirements than patients in a historical group in whom blocks were not performed.

Inclusion Criteria:

• low energy femoral neck and pertrochanteric-type hip fractures
• age 65+
• intact cognition upon admission and ability to provide written informed consent

Exclusion Criteria:

• pathologic fractures (tumor)
• high energy fractures
• concomitant fractures besides hip fractures
• chronic home opioid exposure prior to hospitalization
• moderate to severe dementia
• pre-fracture hospitalization
• time from arrival to block >6 hours
• time from arrival to OR <6 hours or >48 hours