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A Continuous Infusion Fascia Iliaca Compartment Block in Hip Fracture Patients: A Pilot Study

BACKGROUND: Hip fractures account for 350,000 fractures annually and the projected incidence is expected to exceed 6.3 million by 2050. As the number of hip fractures continues to increase as a result of the aging American population, the importance of limiting and preventing complications is magnif...

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Autores principales: Dulaney-Cripe, Elizabeth, Hadaway, Scott, Bauman, Ryan, Trame, Cathy, Smith, Carole, Sillaman, Becky, Laughlin, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279500/
https://www.ncbi.nlm.nih.gov/pubmed/22383926
http://dx.doi.org/10.4021/jocmr724w
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author Dulaney-Cripe, Elizabeth
Hadaway, Scott
Bauman, Ryan
Trame, Cathy
Smith, Carole
Sillaman, Becky
Laughlin, Richard
author_facet Dulaney-Cripe, Elizabeth
Hadaway, Scott
Bauman, Ryan
Trame, Cathy
Smith, Carole
Sillaman, Becky
Laughlin, Richard
author_sort Dulaney-Cripe, Elizabeth
collection PubMed
description BACKGROUND: Hip fractures account for 350,000 fractures annually and the projected incidence is expected to exceed 6.3 million by 2050. As the number of hip fractures continues to increase as a result of the aging American population, the importance of limiting and preventing complications is magnified. METHODS: This study demonstrated the clinical effects of a continuous fascia iliaca compartment block placed pre-operatively when combined with a comprehensive pain protocol. All patients who presented to our institution with a hip fracture were given the option of having a continuous fascia iliaca compartment block for pain control versus usual pain management (non-opioids, opioids, and ice therapy). The block was monitored by the pain service until the day of discharge from the hospital. Data was collected regarding mean pain scores, average length of stay and opioid medication use. RESULTS: There were eighteen males and twenty four females. The pain score on post-operative day zero was reduced from a 2010 annual average of 4.1 to 1.7 in the pilot study group on the visual analog score. On post-operative day one, the 2010 annual average was 2.9 compared to 1.4 in the pilot study group. The length of stay was decreased from the 2010 annual average of 5.9 days to 4.8 days in the pilot study group. The patients used an average of 18mg of morphine equivalent medications during the average infusion time of 40.7 hours. There were no falls or infections noted within our pilot study group. CONCLUSIONS: Overall, it has been noticed that the reduction in opioid usage in this elderly patient population, with an average age of seventy five years, has produced alert and mobile patients often as early as post-operative day one. The length of stay has decreased along with the average pain score in the pilot sample of forty two patients. KEYWORDS: Hip fracture; Fascia Iliaca Compartment Block; Pain Score
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spelling pubmed-32795002012-03-01 A Continuous Infusion Fascia Iliaca Compartment Block in Hip Fracture Patients: A Pilot Study Dulaney-Cripe, Elizabeth Hadaway, Scott Bauman, Ryan Trame, Cathy Smith, Carole Sillaman, Becky Laughlin, Richard J Clin Med Res Short Communication BACKGROUND: Hip fractures account for 350,000 fractures annually and the projected incidence is expected to exceed 6.3 million by 2050. As the number of hip fractures continues to increase as a result of the aging American population, the importance of limiting and preventing complications is magnified. METHODS: This study demonstrated the clinical effects of a continuous fascia iliaca compartment block placed pre-operatively when combined with a comprehensive pain protocol. All patients who presented to our institution with a hip fracture were given the option of having a continuous fascia iliaca compartment block for pain control versus usual pain management (non-opioids, opioids, and ice therapy). The block was monitored by the pain service until the day of discharge from the hospital. Data was collected regarding mean pain scores, average length of stay and opioid medication use. RESULTS: There were eighteen males and twenty four females. The pain score on post-operative day zero was reduced from a 2010 annual average of 4.1 to 1.7 in the pilot study group on the visual analog score. On post-operative day one, the 2010 annual average was 2.9 compared to 1.4 in the pilot study group. The length of stay was decreased from the 2010 annual average of 5.9 days to 4.8 days in the pilot study group. The patients used an average of 18mg of morphine equivalent medications during the average infusion time of 40.7 hours. There were no falls or infections noted within our pilot study group. CONCLUSIONS: Overall, it has been noticed that the reduction in opioid usage in this elderly patient population, with an average age of seventy five years, has produced alert and mobile patients often as early as post-operative day one. The length of stay has decreased along with the average pain score in the pilot sample of forty two patients. KEYWORDS: Hip fracture; Fascia Iliaca Compartment Block; Pain Score Elmer Press 2012-02 2012-01-17 /pmc/articles/PMC3279500/ /pubmed/22383926 http://dx.doi.org/10.4021/jocmr724w Text en Copyright 2012, Dulaney-Cripe et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Short Communication
Dulaney-Cripe, Elizabeth
Hadaway, Scott
Bauman, Ryan
Trame, Cathy
Smith, Carole
Sillaman, Becky
Laughlin, Richard
A Continuous Infusion Fascia Iliaca Compartment Block in Hip Fracture Patients: A Pilot Study
title A Continuous Infusion Fascia Iliaca Compartment Block in Hip Fracture Patients: A Pilot Study
title_full A Continuous Infusion Fascia Iliaca Compartment Block in Hip Fracture Patients: A Pilot Study
title_fullStr A Continuous Infusion Fascia Iliaca Compartment Block in Hip Fracture Patients: A Pilot Study
title_full_unstemmed A Continuous Infusion Fascia Iliaca Compartment Block in Hip Fracture Patients: A Pilot Study
title_short A Continuous Infusion Fascia Iliaca Compartment Block in Hip Fracture Patients: A Pilot Study
title_sort continuous infusion fascia iliaca compartment block in hip fracture patients: a pilot study
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279500/
https://www.ncbi.nlm.nih.gov/pubmed/22383926
http://dx.doi.org/10.4021/jocmr724w
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