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The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB at Emergency Department or patient's ward.
The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.
The Enhance Recovery Program of pain management in geriatric hip fracture has been set up as a part of fast track at Siriraj Hospital since September 2017. The ultrasound-guided (USG) fascia iliaca compartment block (FICB) is routinely offered to patients with a hip fracture by acute pain service (APS) anesthesiologist. The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB.
The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.
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| Measure | Description | Time Frame |
|---|---|---|
| numerical rating scale at rest | numerical rating scale 0-10 (0=no pain, 10=worst pain) | Change from baseline numerical rating scale at 30 minutes post-block |
| numerical rating scale during movement | numerical rating scale 0-10 (0=no pain, 10=worst pain) | Change from baseline numerical rating scale at 30 minutes post-block |
| Measure | Description | Time Frame |
|---|---|---|
| Numerical rating scale during movement | numerical rating scale 0-10 (0=no pain, 10=worst pain) | Within 48 hours postoperative |
| Rate of complications of continuous fascia iliaca compartment analgesia |
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Inclusion Criteria:
Exclusion Criteria:
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Acute hip fracture in elderly
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| Name | Affiliation | Role |
|---|---|---|
| Suwimon Tangwiwat, MD | Mahidol University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine Siriraj Hospital, Mahidol University | Bangkok | 10700 | Thailand |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26940645 | Result | White SM, Moppett IK, Griffiths R, Johansen A, Wakeman R, Boulton C, Plant F, Williams A, Pappenheim K, Majeed A, Currie CT, Grocott MP. Secondary analysis of outcomes after 11,085 hip fracture operations from the prospective UK Anaesthesia Sprint Audit of Practice (ASAP-2). Anaesthesia. 2016 May;71(5):506-14. doi: 10.1111/anae.13415. Epub 2016 Mar 4. | |
| 26899415 |
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| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
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local anesthetic systemic toxicity, leakage, infection
| Within 48 hours postoperative |
| Duration of hospital admission | number of days | from hospital admission until hospital discharge, an average of 1 week |
| Number of participants with morbidity and mortality | myocardial disease, deep vein thrombosis, delirium, death | 6 weeks after hospital discharge |
| Guay J, Parker MJ, Gajendragadkar PR, Kopp S. Anaesthesia for hip fracture surgery in adults. Cochrane Database Syst Rev. 2016 Feb 22;2(2):CD000521. doi: 10.1002/14651858.CD000521.pub3. |
| 15082701 | Result | Orosz GM, Magaziner J, Hannan EL, Morrison RS, Koval K, Gilbert M, McLaughlin M, Halm EA, Wang JJ, Litke A, Silberzweig SB, Siu AL. Association of timing of surgery for hip fracture and patient outcomes. JAMA. 2004 Apr 14;291(14):1738-43. doi: 10.1001/jama.291.14.1738. |
| 9479711 | Result | Birnbaum K, Prescher A, Hessler S, Heller KD. The sensory innervation of the hip joint--an anatomical study. Surg Radiol Anat. 1997;19(6):371-5. doi: 10.1007/BF01628504. |
| 28494088 | Result | Guay J, Parker MJ, Griffiths R, Kopp S. Peripheral nerve blocks for hip fractures. Cochrane Database Syst Rev. 2017 May 11;5(5):CD001159. doi: 10.1002/14651858.CD001159.pub2. |
| 21401544 | Result | Hebbard P, Ivanusic J, Sha S. Ultrasound-guided supra-inguinal fascia iliaca block: a cadaveric evaluation of a novel approach. Anaesthesia. 2011 Apr;66(4):300-5. doi: 10.1111/j.1365-2044.2011.06628.x. Epub 2011 Feb 24. |
| 21693526 | Result | Ftouh S, Morga A, Swift C; Guideline Development Group. Management of hip fracture in adults: summary of NICE guidance. BMJ. 2011 Jun 21;342:d3304. doi: 10.1136/bmj.d3304. No abstract available. |
| D007869 |
| Leg Injuries |