Regional Nerve Blocks Improve Pain and Functional Outcomes in Hip Fracture: A Randomized Controlled Trial.

ABSTRACT:

Objectives

To compared outcomes of regional nerve blocks with those of standard analgesics after hip fracture.

Design

Multisite randomized controlled trial from April 2009 to March 2013.

Setting

Three New York hospitals.

Participants

Individuals with hip fracture (N = 161).

Intervention

Participants were randomized to receive an ultrasound-guided, single-injection, femoral nerve block administered by emergency physicians at emergency department (ED) admission followed by placement of a continuous fascia iliaca block by anesthesiologists within 24 hours (n = 79) or conventional analgesics (n = 82).

Measurements

Pain (0-10 scale), distance walked on Postoperative Day (POD) 3, walking ability 6 weeks after discharge, opioid side effects.

Results</

SUBMITTER: Morrison RS 

PROVIDER: S-EPMC5173407 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature