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Fascia iliaca block in the emergency department for hip fracture: a randomized, controlled, double-blind trial.


ABSTRACT: BACKGROUND:Hip fracture causes moderate to severe pain and while fascia iliaca block has been reported to provide analgesic benefit, most previous trials were unblinded, with subsequent high risks of performance, selection and detection biases. In this randomized, control double-blind trial, we tested the hypothesis that a fascia iliaca block provides effective analgesia for patients suffering from hip fracture. METHODS:Thirty ASA I-III hip fracture patients over 70 years old, who received prehospital morphine, were randomized to receive either a fascia iliaca block using 30 ml of bupivacaine 0.5% with epinephrine 1:200,000 or a sham injection with normal saline. The fascia iliaca block was administered by emergency medicine physicians trained to perform an anatomic landmark-based techniqu

SUBMITTER: Pasquier M 

PROVIDER: S-EPMC6604210 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature