Femoral nerve block in a representative sample of elderly people with hip fracture: A randomised controlled trial

Injury
Anna UnnebyBirgitta Olofsson

Abstract

The number of elderly people with hip fracture and dementia is increasing, and many of these patients suffer from pain. Opioids are difficult to adjust and side effects are common, especially with increased age and among patients with dementia. Preoperative femoral nerve block is an alternative pain treatment. To investigate whether preoperative femoral nerve block reduced acute pain and opioid use after hip fracture among elderly patients, including those with dementia. In this randomised controlled trial involving patients aged ≥70years with hip fracture (trochanteric and cervical), including those with dementia, we compared femoral nerve block with conventional pain management, with opioid use if required. The primary outcome was preoperative pain, measured at five timepoints using a visual analogue scale (VAS). Preoperative opioid consumption was also registered. The study sample comprised 266 patients admitted consecutively to the Orthopaedic Ward. The mean age was 84.1 (±6.9)years, 64% of participants were women, 44% lived in residential care facilities, and 120 (45.1%) had dementia diagnoses. Patients receiving femoral nerve block had significantly lower self-rated pain scores from baseline to 12h after admission than di...Continue Reading

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Citations

Aug 1, 2018·Regional Anesthesia and Pain Medicine·Laura Girón-ArangoAnahi Perlas
Oct 10, 2019·Acta Anaesthesiologica Scandinavica·C SkjoldK Wildgaard
Jul 26, 2019·Current Opinion in Anaesthesiology·Maria Fernanda ArboledaPhilip W H Peng
May 23, 2020·Orthopaedic Nursing·Jennifer SedlockLauren Diegel-Vacek
Apr 3, 2020·Current Osteoporosis Reports·Hannah Elsevier, Lisa K Cannada
Nov 26, 2020·The Cochrane Database of Systematic Reviews·Joanne Guay, Sandra Kopp
Nov 24, 2019·Emergency Medicine Clinics of North America·Phillip D MagidsonTeresita M Hogan

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