• Anaesthesia · Sep 2013

    Randomized Controlled Trial Comparative Study

    A comparison of pre-operative nerve stimulator-guided femoral nerve block and fascia iliaca compartment block in patients with a femoral neck fracture.

    • B Newman, L McCarthy, P W Thomas, P May, M Layzell, and K Horn.
    • Acute Pain Service, Poole Hospital NHSFT, Poole, UK.
    • Anaesthesia. 2013 Sep 1;68(9):899-903.

    AbstractWe undertook a randomised, controlled trial to compare the analgesic efficacy and opioid sparing effect of nerve stimulator-guided femoral nerve block with fascia iliaca compartment block in patients awaiting surgery for fractured neck of femur. Ten-centimetre visual analogue pain scores were measured before and 2 h after the block and opioid consumption was recorded in the 12-h period after the block. One hundred and ten patients were randomly assigned. Femoral nerve block provided superior pre-operative analgesia for fractured neck of femur compared with fascia iliaca compartment block. The difference in the mean reduction of pain score after the block was 0.9 (95% CI 0-1.8); p = 0.047. Patients receiving a femoral nerve block required less morphine after the block than those receiving fascia iliaca compartment block (p = 0.041).© 2013 The Association of Anaesthetists of Great Britain and Ireland.

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