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Orthopaedic Proceedings
Vol. 99-B, Issue SUPP_8 | Pages 21 - 21
1 Apr 2017
Callear J Shah K
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Introduction

Despite recent national advances in the care for the hip fracture patient, significant morbidity and mortality persists. Some of this morbidity is attributable to the analgesia provided in the hospital setting. The National Institute of Clinical Excellence recommends the use of simple oral analgesia including opioids, with fascia-iliac blocks used as an adjunct. Literature review reveals a paucity of evidence on this topic. The aim of this study was to evaluate the efficacy of fascia iliac blocks through analysis of pre and post-operative opioid usage, post-operative delirium, time to bowel opening and naloxone use.

Methods

A retrospective study was performed between September-December 2013. Inclusion criteria were determined. 41 patients who received spinal anaesthesia alone and 41 patients who received spinal anaesthesia and a fascia-iliac block were included.