El bloqueo iliofascial en el tratamiento analgésico de la fractura de cadera del anciano

Castillón, Pablo; Veloso, Margarita; Gómez, Oscar; Salvador, Jordi; Bartra, Agustí; Angles, Francesc

doi:10.1016/j.recot.2017.07.004

Cited by 6 publications

(2 citation statements)

References 32 publications

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“…The results of the lumbar ESPB single injection in this case series for hip analgesia are comparable to the fascia iliaca block and to PENG blog, with a pain reduction from severe to mild, following a single injection. (23,24) It should be highlighted that though in most patients in this series severe pain was observed after 24 hours, the single injection Tulgar technique block is a valuable therapeutic option in institutions that don't have a pain unit for proper assessment and surveillance of these catheters. This statement is supported by cases reporting up to 36 hours of analgesia following single injection blocks.…”

Section: Discussionmentioning

confidence: 92%

“…The ESP is a newly described regional analgesic technique with a growing number of indications in clinical practice. (21)(22)(23) For hip fracture analgesia, this case series of lumbar ESP block illustrates a reduction of pain from acute to mild or absent, following the block (VAS 3 or less) for up to 24 h. However, 4 of the 6 cases managed with continuous catheter following the ESP block experienced acute pain relapse (defined as VAS ≥ 7) after 24 hours. Catheter dysfunction was observed in 2 cases, due to obstruction and accidental dislodgement, and the catheters had to be removed after 24 hours.…”

Section: Discussionmentioning

confidence: 95%

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Continuous erector spinae plane block at lumbar level for relief of severe pain due to hip fracture: case series

Tovar-Gutiérrez

Camelo-Rincón

Vásquez-Gómez

et al. 2021

Colomb. J. Anesthesiol.

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Introduction: Hip fracture pain is frequently acute and disabling and increases perioperative complications in the patient; hence it requires a multimodal analgesia approach. This case series describes the continuous erector spinae plane block at the lumbar level for hip fracture analgesia. Methods: A search was conducted of patients with hip fracture referred to the pain service of Hospital Universitario San Vicente Fundación (HUSVF) from August 2019 to March 2020, who had undergone continuous erector spinae plane block as part of their analgesic regimen. Results: A total of 6 patients, 4 females and 2 males with an average age of 75 years were identified. A reduction in pain intensity from acute to mild or absent was observed in every case, up to 24 hours after the initial injection. 66 % experienced a relapse of severe pain after 24 hours and 2 patients the catheter functionality failed after 24 hours. One patient underwent dermatome pinprick assessment. Conclusions: The continuous erector spinae plane block with a single injection provided analgesic efficacy similar to other single injection peripheral blocks, although continuous analgesia for more than 24 hours was not achieved. Some variations in the block technique described may improve the analgesic effectiveness in patients with hip fracture pain.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 95%

Continuous erector spinae plane block at lumbar level for relief of severe pain due to hip fracture: case series

Tovar-Gutiérrez

Camelo-Rincón

Vásquez-Gómez

et al. 2021

Colomb. J. Anesthesiol.

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Peripheral nerve blocks for hip fractures in adults

Guay

Kopp

2020

Cochrane Database of Systematic Reviews

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Implementation of a Fascia Iliaca Compartment Block Program in Geriatric Hip Fractures: The Experience at a Level I Academic Trauma Center

Ulrich,

Kraus,

Polk

et al. 2023

Journal of Orthopaedic Trauma

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OBJECTIVES: Determine adherence to a newly implemented protocol of fascia iliaca compartment block (FICB) in geriatric hip fractures. METHODS Design: Retrospective review Setting: Level I trauma center Patient Selection Criteria: Patients with a hip fracture treated with cephallomedullary nailing or hemiarthroplasty (CPT Codes 27245 or 27236). Outcome Measures and Comparisons: Adherence to a protocol for FICB, time intervals between emergency department arrival, FICB, and surgery stratified by time of admission. RESULTS: 380 patients were studied (average age 78, 70% female). 53.2% of patients received a FICB, which was less than a pre-defined acceptable adherence rate of 75% (p<0.001). 5.0% received a FICB within 4 hours and 17.3% within 6 hours from admission. Admission during daylight hours (7am-7pm) when compared to evening hours (7pm-7am) was associated with improved timeliness ([8.3% vs 0% within 4 hours, p<0.001], [27.5% vs 2.4% within 6 hours, p<0.001]). Improved adherence to the protocol was observed over time (OR: 1.0013, 95% CI: 1.0001, 1.0025, p=0.0388). CONCLUSIONS: FICB implementation was poor but gradually improved over time. Few patients received a FICB promptly, especially during night hours. Overall, this study demonstrates that implementation of a FICB program at a level I academic trauma center can be difficult however, many hurdles can be overcome with institutional support and dedication of resources such as staff, space and additional training.

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El bloqueo iliofascial en el tratamiento analgésico de la fractura de cadera del anciano

Cited by 6 publications

References 32 publications

Continuous erector spinae plane block at lumbar level for relief of severe pain due to hip fracture: case series

Continuous erector spinae plane block at lumbar level for relief of severe pain due to hip fracture: case series

Peripheral nerve blocks for hip fractures in adults

Implementation of a Fascia Iliaca Compartment Block Program in Geriatric Hip Fractures: The Experience at a Level I Academic Trauma Center

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