Preoperative Analgesic Effect of Fascia Iliaca Block in Geriatric Hip Fracture, a Randomized Controlled Trial
Keywords:
fascia iliaca block, geriatric hip fracture, preoperative pain managementAbstract
Objective: This study aims to identify the preoperative analgesic effects of fascia iliaca block in geriatric hip fractures.
Methods: The study design was a prospective randomized controlled trial focused on hip fracture patients aged between 60 and 90 years from July to December 2023. Participants were randomly assigned to two groups: the first received standard analgesia (control group), while the second underwent fascia iliaca block with 30 ml of 0.33% bupivacaine at protocol initiation (FICB group). Numerical pain rating scale (NRS) and opioid consumption were recorded.
Result: Forty-seven participants were analyzed. At 24 hours, FICB group exhibited significantly (p < .001) lower mean NRS at rest (0.5 ± 0.8 vs 2.4 ± 1.3) and during movement (2.9 ± 1.1 vs 5.6 ± 1.5), with substantially lower in opioid consumption compared to the control group (0.1 ± 0.3 vs 1.5 ± 1.3 mg).
At 48 hours, FICB group maintained lower mean NRS, along with a higher percentage of ambulation on bed (82.6% vs 20.8%). Although delirium and pneumonia incidence was lower in the FICB group, the difference was not statistically significant.
Conclusion: The fascia Iliaca block exhibited preoperative analgesic effects, facilitated patient ambulation, and potentially reduced complications associated with uncontrolled pain in geriatric hip fractures.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
