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Fascia iliaca compartment nerve block

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https://www.readbyqxmd.com/read/27842565/regional-anesthesia-for-painful-injuries-after-disasters-rapid-study-protocol-for-a-randomized-controlled-trial
#1
Adam C Levine, Carrie Teicher, Adam R Aluisio, Tess Wiskel, Pola Valles, Miguel Trelles, Justin Glavis-Bloom, Rebecca F Grais
BACKGROUND: Lower extremity trauma during earthquakes accounts for the largest burden of disaster-related injuries. Insufficient pain management is common in resource-limited disaster settings, and regional anesthesia (RA) may reduce pain in injured patients beyond current standards of care. To date, no controlled trials have been conducted to evaluate the use of RA for pain management in a disaster setting. METHODS/DESIGN: The Regional Anesthesia for Painful Injuries after Disasters (RAPID) study aims to evaluate whether regional anesthesia (RA), either with or without ultrasound (US) guidance, can reduce pain from earthquake-related lower limb injuries in a disaster setting...
November 14, 2016: Trials
https://www.readbyqxmd.com/read/27759633/ultrasound-guided-continuous-femoral-nerve-block-vs-continuous-fascia-iliaca-compartment-block-for-hip-replacement-in-the-elderly-a-randomized-controlled-clinical-trial-consort
#2
Bin Yu, Miao He, Guang-Yu Cai, Tian-Xiao Zou, Na Zhang
BACKGROUND: Continuous femoral nerve block and fascia iliaca compartment block are 2 traditional anesthesia methods in orthopedic surgeries, but it is controversial which method is better. The objective of this study was to compare the practicality, efficacy, and complications of the 2 modalities in hip replacement surgery in the elderly and to assess the utility of a novel cannula-over-needle set. METHODS: In this prospective, randomized controlled clinical investigation, 60 elderly patients undergoing hip replacement were randomly assigned to receive either continuous femoral nerve block or continuous fascia iliaca compartment block...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27630930/analgesic-efficacy-of-ultrasound-guided-ficb-in-patients-with-hip-fracture
#3
Devender Kumar, Sarla Hooda, Shashi Kiran, Jyoti Devi
INTRODUCTION: Hip fractures are often encountered in the elderly and present special problems to the anaesthesiologist. Fascia iliaca compartment block is another technique with the intent to block all the three nerves like 3-in-1 nerve block. AIM: To evaluate the analgesic efficacy of ultrasound guided fascia iliaca compartment block to facilitate positioning of patients with hip fracture for spinal anaesthesia. MATERIALS AND METHODS: This prospective study was conducted in 50 patients aged between 40-80 years, belonging to American Society of Anesthesiologists (ASA) physical status I-III undergoing surgery for hip fracture...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27609649/provision-of-fascia-iliaca-compartment-block-in-the-acute-management-of-proximal-femoral-fractures-a-national-observational-study-of-uk-hospitals
#4
George W Miller, Jenna J Godrey, Markus L Sagmeister, Thomas L Lewis
AIMS: Fascia iliaca compartment block (FICB) is a simple regional anaesthetic block that has been shown to be superior to other regional anaesthetic blocks with regards to success rate and analgesic efficacy in the acute management of proximal femoral fractures. The objective was to quantitatively assess the provision of FICB for patients with proximal femoral fractures in the UK. METHODS: A national observational study of all acute medical trusts in the UK (n=187) was conducted...
September 3, 2016: Injury
https://www.readbyqxmd.com/read/27239308/improving-analgesia-in-fractured-neck-of-femur-with-a-standardised-fascia-iliaca-block-protocol
#5
Paul Watson, Szabolcs Rugonfalvi-Kiss
Fractured neck of femur (NOF) causes significant morbidity and pain for patients; adequate analgesia is an essential component of patient centred care. Patients experiencing greater pain during treatment for fractured NOF are slower to mobilise and have poorer health-related quality of life. NICE guidance suggests considering adding nerve blocks if paracetamol and opioids do not provide sufficient preoperative pain relief. We set out to audit pain levels in this group of patients in a small District General Hospital and to develop a protocol to improve analgesia provision if required...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/26710951/-a-comparison-of-two-approaches-to-ultrasound-guided-fascia-iliaca-compartment-block-for-analgesia-after-total-hip-arthroplasty
#6
RANDOMIZED CONTROLLED TRIAL
Ning Wang, Min Li, Yue Wei, Xiangyang Guo
OBJECTIVE: To compare the efficacy of two approaches to ultrasound-guided fascia iliaca compartment block (FICB) for postoperative analgesia after total hip arthroplasty (THA). METHODS: Approved by the Peking University Third Hospital ethics committee, Sixty patients undergoing selective total hip replacement in Peking Third Hospital during Oct. 2013 to May. 2014 were included. Before induction of general anethesia, ultrasound-guided FICB were administered. According to probe parallel to the inguinal ligament or perpendicular to the inguinal ligament, patients were randomly divided into the Parallel group and the Perpendicular group...
July 28, 2015: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/26643833/analgesia-before-performing-subarachnoid-block-in-the-sitting-position-in-patients-with-proximal-femoral-fracture-a-comparison-between-fascia-iliaca-block-and-femoral-nerve-block
#7
A Ghimire, B Bhattarai, S Koirala, A Subedi
BACKGROUND: Positioning for subarachnoid block (SAB) in patients with femoral fracture is painful and may remain suboptimal requiring use of large doses of opioids. These patients generally being elderly with multiple comorbidities and frailty are likely to have many undesirable effects of opioids including respiratory depression and confusion. OBJECTIVE: The objective was to compare the feasibility and effectiveness of fascia iliaca compartment block (FICB) and femoral nerve block (FNB) in reducing pain associated with positioning for subarachnoid block in patients undergoing proximal femoral fracture fixation procedures...
April 2015: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/26330019/regional-nerve-blocks-for-hip-and-femoral-neck-fractures-in-the-emergency-department-a-systematic-review
#8
REVIEW
Brandon Ritcey, Paul Pageau, Michael Y Woo, Jeffrey J Perry
OBJECTIVES: Hip and femoral neck fractures are common in elderly patients, who are at an increased risk of complications if their pain is suboptimally managed. This systematic review seeks to determine if regional nerve blocks reduce pain, reduce the need for parenteral opiates, and reduce complications, compared to standard pain management with opiates, acetaminophen, or NSAIDs. DATA SOURCES: Systematic review of MEDLINE, EMBASE, CINAHL, and the Cochrane Central Register of Controlled Trials found 401 articles, of which nine were selected for inclusion...
January 2016: CJEM
https://www.readbyqxmd.com/read/26277873/local-anesthetic-injection-deep-to-the-fascia-iliaca-at-the-level-of-the-inguinal-ligament-the-pattern-of-distribution-and-effects-on-the-obturator-nerve
#9
RANDOMIZED CONTROLLED TRIAL
Jeffrey D Swenson, Jennifer J Davis, Joshua O Stream, Julia R Crim, Robert T Burks, Patrick E Greis
STUDY OBJECTIVE: The femoral, lateral femoral cutaneous, and obturator nerves (ONs) can reportedly be blocked using a single-injection deep to the fascia iliaca (FI) at the level of the inguinal ligament. Two commonly used methods (the FI compartment and 3-in-1 blocks) have produced inconsistent results with respect to local anesthetic distribution and effect on the ON. To date, no study of either method has been performed using advanced imaging techniques to document both needle placement and local anesthetic distribution...
December 2015: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/26056546/efficacy-of-fascia-iliaca-compartment-nerve-block-as-part-of-multimodal-analgesia-after-surgery-for-femoral-bone-fracture
#10
Fentahun Tarekegn Kumie, Endale Gebreegziabher Gebremedhn, Hailu Yimer Tawuye
BACKGROUND: Fascia iliaca compartment nerve block (FICNB) has been an established technique for postoperative analgesia after surgery for femoral bone fracture. FICNB is technically easy, effective for postoperative pain control after operation for femoral bone fracture and decreases the complications induced by systemic analgesic drugs. The severity of postoperative pain is affected by genetics, cultural and social factors across the world. In this study we assessed the efficacy of fascia iliaca compartment nerve block when it is used as part of multimodal analgesia after surgery for femoral bone fracture...
2015: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25661312/paramedic-performed-fascia-iliaca-compartment-block-for-femoral-fractures-a-controlled-trial
#11
RANDOMIZED CONTROLLED TRIAL
Paul J McRae, Jason C Bendall, Veronica Madigan, Paul M Middleton
BACKGROUND: Femoral (thigh) fractures are an important clinical problem commonly encountered by paramedics. These injuries are painful, and the need for extrication and transport adds complexity to the management of this condition. Whereas traditional analgesia involves parenteral opioids, regional nerve blockade for femoral fractures have been demonstrated to be effective when performed by physicians. Regional peripheral nerve blockade performed by paramedics may be suitable in the prehospital setting...
May 2015: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25575896/a-randomized-study-to-compare-the-analgesic-efficacy-of-ultrasound-guided-block-of-fascia-iliaca-compartment-or-femoral-nerve-after-patella-fracture-surgery
#12
Mingjian Kong, Ran Guo, Jianqing Chen, Peng Li, Zhen Wu
The aim of this study was to compare the analgesic efficacy of the ultrasound-guided block of femoral nerve or fascia iliaca compartment in patients who underwent patella fracture surgery. Fifty patients were blinded and randomized into groups treated with continuous fascia iliaca compartment block (CFICB) (n = 25) or continuous femoral nerve block (CFNB) (n = 25) after patella fracture surgery. Analgesic effects of the two methods were assessed and compared. Patients from the two groups showed no significant difference in visible analog scales at rest and during movement, fentanyl consumption, nausea, and vomiting...
June 2015: Cell Biochemistry and Biophysics
https://www.readbyqxmd.com/read/25532088/continuous-femoral-nerve-block-versus-fascia-iliaca-compartment-block-as-postoperative-analgesia-in-patients-with-hip-fracture
#13
RANDOMIZED CONTROLLED TRIAL
Marina Temelkovska-Stevanovska, Vesna Durnev, Marija Jovanovski-Srceva, Maja Mojsova-Mijovska, Sime Trpeski
INTRODUCTION: Systemic postoperative analgesia is inefficient in most patients with hip fracture, which is the reason for pain, especially during leg movement. Peripheral and plexus nerve blocks are an efficient option for postoperative pain relief. The aim of this study was to compare the effect and duration of continuous FNB versus a single FIC block as a postoperative analgesia in patients with hip fracture. METHODS: Sixty patients with hip fracture were included and were randomly assigned to two groups of 30 patients: FNB group - patients with continuous femoral nerve block; and FIC group -patients with a single fascia iliaca compartment block...
2014: Prilozi (Makedonska Akademija Na Naukite i Umetnostite. Oddelenie za Medicinski Nauki)
https://www.readbyqxmd.com/read/25430915/randomised-trial-of-the-fascia-iliaca-block-versus-the-3-in-1-block-for-femoral-neck-fractures-in-the-emergency-department
#14
RANDOMIZED CONTROLLED TRIAL
Paul Reavley, Alan A Montgomery, Jason E Smith, Simon Binks, Judith Edwards, Georgina Elder, Jonathan Benger
INTRODUCTION: Femoral neck fractures are a common and painful injury. Femoral nerve blocks, and a variant of this technique termed the '3-in-1' block, are often used in this patient group, but their effect is variable. The fascia iliaca compartment block (FIB) has been proposed as an alternative, but the relative effectiveness of the two techniques in the early stages of care is unknown. We therefore compared the FIB versus the 3-in-1 block in a randomised trial conducted in two UK emergency departments...
September 2015: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/25068412/preoperative-fascia-iliaca-compartment-block-for-positioning-patients-with-hip-fractures-for-central-nervous-blockade-a-randomized-trial
#15
RANDOMIZED CONTROLLED TRIAL
Maria Diakomi, Marianna Papaioannou, Argyro Mela, Evangelia Kouskouni, Alexandros Makris
BACKGROUND AND OBJECTIVES: Appropriate pain management may positively affect outcome following hip fractures. Positioning patients for spinal anesthesia (SA) can be extremely painful. Peripheral nerve blockades are gaining popularity in this setting. This prospective, randomized study compares the efficacy of fascia iliaca compartment block (FICB) to intravenous (IV) fentanyl for positioning hip fracture patients for SA. METHODS: Forty-one patients scheduled for hip fracture surgery were randomized to receive a bolus dose of IV fentanyl (IVFE) 1...
September 2014: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/24977991/fascia-iliaca-compartment-nerve-block-versus-systemic-pain-control-for-acute-femur-fractures-in-the-pediatric-emergency-department
#16
COMPARATIVE STUDY
Tara L Neubrand, Kelley Roswell, Sara Deakyne, Kendra Kocher, Joseph Wathen
OBJECTIVE: To compare management of acute femur fractures in children who received a fascia iliaca compartment nerve block (FICNB) to those who received systemic intravenously administered analgesics in the pediatric emergency department. The comparison evaluated frequency of use, effectiveness, and associated adverse event profiles. METHODS: Study population was derived from a retrospective chart review of pediatric patients sustaining acute femur fractures between 2005 and 2009...
July 2014: Pediatric Emergency Care
https://www.readbyqxmd.com/read/24957807/prehospital-administered-fascia-iliaca-compartment-block-by-emergency-medical-service-nurses-a-feasibility-study
#17
Els Dochez, Geert J van Geffen, Jörgen Bruhn, Nico Hoogerwerf, Harm van de Pas, Gertjan Scheffer
INTRODUCTION: Patients with a proximal femur fracture are often difficult to evacuate from the accident scene. Prehospital pain management for this vulnerable group of patients may be challenging. Multiple co-morbidities, polypharmacy and increased age may limit the choice of suitable analgesics. The fascia iliaca compartment (FIC) block may be an alternative to intravenous analgesics. However this peripheral nerve block is mainly applied by physicians.In the Netherlands, prehospital emergency care is mostly provided by EMS-nurses...
2014: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/24343768/nerve-blocks-for-initial-pain-management-of-femoral-fractures-in-children
#18
REVIEW
Karen J L Black, Catherine A Bevan, Nancy G Murphy, Jason J Howard
BACKGROUND: Children and adolescents with femoral fractures are almost always admitted to hospital. They invariably start their hospital experience in the Emergency Department, often requiring transfer to a specialist children's hospital. They require analgesia or anaesthesia so that radiographs can be obtained and for management of their fractures. The initial care process involves from two to six transfers from stretcher to stretcher/imaging/operating-suite table or hospital bed within the first few hours, so prompt pain relief is essential...
2013: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/23878064/regional-analgesia-in-the-emergency-department-for-hip-fractures-survey-of-current-uk-practice-and-its-impact-on-services-in-a-teaching-hospital
#19
Anwar Rashid, Eleanor Beswick, Svetlana Galitzine, Laurence Fitton
INTRODUCTION: While the benefits of regional analgesia (RA) for preoperative pain relief in hip fracture (HF) in elderly patients are well recognised, this service is yet to be established in many UK emergency departments (EDs). We set out to discover how widely RA is adopted in the UK EDs. METHODS: In April-July 2010, we conducted a postal survey of 218 UK EDs, followed up with fax reminders for non-respondents. RESULTS: A total of 147/218 (67%) EDs completed the survey...
November 2014: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/23789738/a-comparison-of-pre-operative-nerve-stimulator-guided-femoral-nerve-block-and-fascia-iliaca-compartment-block-in-patients-with-a-femoral-neck-fracture
#20
RANDOMIZED CONTROLLED TRIAL
B Newman, L McCarthy, P W Thomas, P May, M Layzell, K Horn
We undertook a randomised, controlled trial to compare the analgesic efficacy and opioid sparing effect of nerve stimulator-guided femoral nerve block with fascia iliaca compartment block in patients awaiting surgery for fractured neck of femur. Ten-centimetre visual analogue pain scores were measured before and 2 h after the block and opioid consumption was recorded in the 12-h period after the block. One hundred and ten patients were randomly assigned. Femoral nerve block provided superior pre-operative analgesia for fractured neck of femur compared with fascia iliaca compartment block...
September 2013: Anaesthesia
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