Two Femoral Nerve Block Techniques Compared for Patients with Femur Fractures

The fascia iliaca and 3-in-1 femoral nerve blocks were equally effective for reducing pain from femoral neck fractures.

Both the 3-in-1 block and fascia iliaca block (FIB) provide effective analgesia for patients with femoral neck fractures; however, they have never been directly compared in the emergency department setting. To test this, researchers in the U.K. randomized 178 adult patients to either approach. The 3-in-1 block was performed using either ultrasound-guidance or nerve stimulation; the FIB was performed using the anatomic landmark technique.

On the basis of a 100-point visual analog scale, pain scores for the 3-in-1 and FIB were similar at 30 minutes (45 and 44, respectively) and 60 minutes (35 and 38) after block delivery. Preoperative analgesia use was also similar between groups. Hospital length of stay was longer in the FIB group (14 vs. 10 …

Reviewing Author

Cheryl Lynn Horton, MD

Disclosures

Speaker’s bureauAirway Management Education Center

Cheryl Lynn Horton, MD

Disclosures

Speaker’s bureauAirway Management Education Center

Two Femoral Nerve Block Techniques Compared for Patients with Femur Fractures

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Reviewing Author