International Emergency Nursing Vol. 57 July 2021
Fascia iliaca compartment block (FICB) as pain treatment in older persons with suspected hip fractures in prehospital emergency care – A comparative pilot study
Dublin Core
Title
International Emergency Nursing Vol. 57 July 2021
Fascia iliaca compartment block (FICB) as pain treatment in older persons with suspected hip fractures in prehospital emergency care – A comparative pilot study
Fascia iliaca compartment block (FICB) as pain treatment in older persons with suspected hip fractures in prehospital emergency care – A comparative pilot study
Subject
Pain, Pain measurement, Nerve blocks, Fascia iliaca compartment block, Emergency medical services
Description
Background: Older persons with a suspected hip fracture and suffering
considerable pain are common patients in the emergency medical services (EMS). Pain treatment needs to be improved and fascia iliaca compartment block (FICB) can be one option. The purpose of this paper was to analyse prehospital pain in patients with a suspected hip fracture under EMS care and to compare standard treatment and FICB.
Methods: An evaluation of a retrospective case-control study comprising 135 patients from a pilot project with FICB in an EMS organisation in Sweden. The control patients were matched with FICB patients. Pain was assessed on the arrival of the EMS and on arrival in hospital.
Results: In all, 27 patients received FICB and 108 had standard pain treatment. There was a significant reduction in pain in both groups. However, there was a more marked reduction in pain among patients who received FICB than in the control group. So, for static pain, 56% experienced a reduction in pain in the FICB group versus 30% among controls (p < 0.01). The corresponding values for dynamic pain were 85% and 59% (p < 0.01).
Conclusion: FICB can be a good supplement to standard prehospital pain treatment in patients with suspected hip fractures.
considerable pain are common patients in the emergency medical services (EMS). Pain treatment needs to be improved and fascia iliaca compartment block (FICB) can be one option. The purpose of this paper was to analyse prehospital pain in patients with a suspected hip fracture under EMS care and to compare standard treatment and FICB.
Methods: An evaluation of a retrospective case-control study comprising 135 patients from a pilot project with FICB in an EMS organisation in Sweden. The control patients were matched with FICB patients. Pain was assessed on the arrival of the EMS and on arrival in hospital.
Results: In all, 27 patients received FICB and 108 had standard pain treatment. There was a significant reduction in pain in both groups. However, there was a more marked reduction in pain among patients who received FICB than in the control group. So, for static pain, 56% experienced a reduction in pain in the FICB group versus 30% among controls (p < 0.01). The corresponding values for dynamic pain were 85% and 59% (p < 0.01).
Conclusion: FICB can be a good supplement to standard prehospital pain treatment in patients with suspected hip fractures.
Creator
Par ̈ Wennberg, Thea Hillberg Hornfeldt, Susanna Stål, Johan Herlitz , Joakim Bjorås, Glenn Larsson
Publisher
Elsevier Ltd.
Date
July 2021
Contributor
Sri Wahyuni
Rights
1755-599X
Format
PDF
Language
English
Type
Text
Coverage
International Emergency Nursing Vol. 57 July 2021
Files
Citation
Par ̈ Wennberg, Thea Hillberg Hornfeldt, Susanna Stål, Johan Herlitz , Joakim Bjorås, Glenn Larsson, “International Emergency Nursing Vol. 57 July 2021
Fascia iliaca compartment block (FICB) as pain treatment in older persons with suspected hip fractures in prehospital emergency care – A comparative pilot study,” Repository Horizon University Indonesia, accessed April 26, 2025, https://repository.horizon.ac.id/items/show/1678.
Fascia iliaca compartment block (FICB) as pain treatment in older persons with suspected hip fractures in prehospital emergency care – A comparative pilot study,” Repository Horizon University Indonesia, accessed April 26, 2025, https://repository.horizon.ac.id/items/show/1678.