Fascia Iliaca compartment block: A nurse-led initiative for preoperative pain management in patients with a fractured neck of femur

Randall, Adrianne; Grigg, Lynn; Obideyi, A.; Srikantharajah, Indra

doi:10.1016/j.joon.2008.07.007

Cited by 19 publications

(15 citation statements)

References 8 publications

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“…Complete sensory blockade involving the three targeted lumbar plexus nerves was achieved in 45% of nerve blocks attempted, which is consistent with clinical expectations (30). It is not surprising that paramedics could successfully perform FICB after a brief education program, as the FICB procedure has been taught successfully to both junior physicians and nurses (12,26,29,(31)(32)(33).…”

Section: Discussionsupporting

confidence: 62%

Paramedic-performed Fascia Iliaca Compartment Block for Femoral Fractures: A Controlled Trial

McRae

Bendall

Madigan

et al. 2015

The Journal of Emergency Medicine

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Section: Discussionsupporting

confidence: 62%

Paramedic-performed Fascia Iliaca Compartment Block for Femoral Fractures: A Controlled Trial

McRae

Bendall

Madigan

et al. 2015

The Journal of Emergency Medicine

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“…Fascia iliaca compartment block (FICB)—a local anaesthetic injection directly into the groin region—is routinely used in the emergency department by medical and, increasingly, nurse practitioners. It has equal pain relief to opioids and fewer side effects, potentially improving patient outcomes and length of hospital stay 14 19–27. The Association of Anaesthetists of Great Britain and Ireland supports delivery of FICB by trained non-medical health professionals 28.…”

Section: Introductionmentioning

confidence: 99%

Is fascia iliaca compartment block administered by paramedics for suspected hip fracture acceptable to patients? A qualitative study

et al. 2019

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ObjectiveTo explore patients’ experience of receiving pain relief injection for suspected hip fracture from paramedics at the location of the injury.DesignQualitative interviews within a feasibility trial about an alternative to routine prehospital pain management for patients with suspected hip fracture.SettingPatients treated by paramedics in the catchment area of one emergency department in South Wales.ParticipantsSix patients and one carer of a patient who received fascia iliaca compartment block (FICB).InterventionFICB administered to patients with suspected hip fracture by trained paramedics. We randomly allocated eligible patients to FICB—a local anaesthetic injection directly into the hip region—or usual care—most commonly morphine—using audited scratch cards.OutcomesAcceptability and experience of receiving FICB, assessed through interview data. We audio-recorded, with participants’ consent, and conducted thematic analysis of interview transcripts. The analysis team comprised two researchers, one paramedic and one lay member.ResultsPatients had little or no memory of being offered, consenting to or receiving FICB. They recalled the reassuring manner and high quality of care received. They accepted FICB without question. Partial or confused memory characterised experience of subsequent hospital care until surgery. They said their priorities when calling for emergency help were to receive effective care. After hospital treatment, they wanted to regain their health and mobility and resume the quality of life they experienced before their injury.ConclusionsThis study did not raise any concerns about the acceptability of FICB administered at the scene of injury by paramedics to people with suspected hip fracture. It adds to existing evidence about patient and carer experience of on-scene care for people with suspected hip fracture. Further research is needed to assess safety, effectiveness and cost effectiveness of this health technology in a new setting.Trial registration numberNCT60065373.

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“…5 This has led to the introduction of a nurse-led FICB service for patients with femoral neck fracture. [12][13][14] The analgesic reliability of FICB has led to its introduction in the pre-hospital setting in some countries. 15 Bupivacaine has been used to investigate the analgesic effect of FICB.…”

Section: Resultsmentioning

confidence: 99%

Standard Preoperative Analgesia with or without Fascia Iliaca Compartment Block for Femoral Neck Fractures

Williams

Paringe

Shenoy

et al. 2016

J Orthop Surg (Hong Kong)

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Purpose. To compare the visual analogue score (VAS) for pain in patients with femoral neck fracture who received standard preoperative analgesia with or without fascia iliaca compartment block (FICB). Methods. In patients with femoral neck fracture, 69 patients who received standard preoperative analgesia (regular paracetamol 1g 4 times a day, codeine 60 mg 4 times a day, and opioid 10 mg 2 hourly as required) were compared with 50 patients who received standard preoperative analgesia plus FICB. VAS for pain at rest and on movement (hip flexion) was assessed before FICB and 15 minutes, 2 and 8 hours after FICB. The amount of additional opioid required and the incidence of opioid overdose (necessitating administration of naloxone) were determined. Results. VAS for pain was significantly lower after standard analgesia plus FICB than standard analgesia alone (p=0.001). The analgesic effect (pre-score minus post-score) of standard analgesia plus FICB did not differ between genders (p=0.57) or fracture patterns

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Fascia Iliaca compartment block: A nurse-led initiative for preoperative pain management in patients with a fractured neck of femur

Cited by 19 publications

References 8 publications

Paramedic-performed Fascia Iliaca Compartment Block for Femoral Fractures: A Controlled Trial

Paramedic-performed Fascia Iliaca Compartment Block for Femoral Fractures: A Controlled Trial

Is fascia iliaca compartment block administered by paramedics for suspected hip fracture acceptable to patients? A qualitative study

Standard Preoperative Analgesia with or without Fascia Iliaca Compartment Block for Femoral Neck Fractures

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