AN OBSERVATIONAL STUDY ON THE EFFECTIVE ANALGESIC MODALITY OF FASCIA ILIACA COMPARTMENT BLOCK IN GERIATRIC HIP FRACTURE PATIENTS
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Keywords
Fascia iliaca compartment block, Geriatric hip fractures, Pain control, Opioid usage
Abstract
One of the most frequent orthopedic ailments among the elderly is hip fractures. Although they may have adverse effects, opioids can help individuals with hip fractures with their perioperative pain. Fascia iliaca compartment block (FICB) and other peripheral nerve blocks are now standard components of the multimodal analgesic regimen given to patients with hip fractures during surgery. In older patients with hip fractures, we examine the effects of continuous infusion FICB (CFICB) on perioperative pain management, opioid use, related complications, and the patients' short- and long-term rehabilitation status. 40 elderly patients with hip fractures who had received the CFICB between November 2020 and April 2022, were matched in a 1:2 ratio with comparable patients who had not received the CFICB from our institution's hip fracture database, which included 212 individuals, for this retrospective matched case control research. Both the CFICB group (N = 95) and the control group (N = 112) included a total of 212 patients. The CFICB group used considerably less opioids overall during the first three days and had significantly lower postoperative pain ratings than the control group (p < 0.01, respectively). The CFICB group's systemic problems were similar to those of the control group. Although the CFICB group's recovery was delayed for up to two weeks, there was no discernible difference between the two groups' function and mobility one year after surgery. Improved pre-fracture function was linked to quicker short-term recovery outcomes for post-operative patients in both groups. For elderly patients with hip fractures, the CFICB offers safe and efficient post-operative pain management. In elderly hip fracture patients treated with CFICB, post-operative opioid use is reduced. Short-term rehabilitation milestones are delayed, but a year after surgery, there is no discernible difference
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Barman Prasenjit
Consultant, Department of Anaesthesiology, Nemcare Hospital and Research institute, Bhangagarh, Guwahati, Assam, India PIN: 781005