Preliminary Experience in Acute Pain Control for Nonoperated Hip Fracture

2011 ◽  
Vol 71 (1) ◽  
pp. 269 ◽  
Author(s):  
Guohao Chang ◽  
Ganesan Naidu Rajamoney ◽  
Nicholas H. L. Chua
Keyword(s):  
Hip Fracture ◽  
Acute Pain ◽  
Pain Control

The Application of Fascia Iliaca Compartment Block for Acute Pain Control of Hip Fracture and Surgery

2021 ◽  
Vol 25 (4) ◽  
Author(s):  
Thomas Verbeek ◽  
Sanjib Adhikary ◽  
Richard Urman ◽  
Henry Liu
Keyword(s):  
Hip Fracture ◽  
Acute Pain ◽  
Pain Control ◽  
Fascia Iliaca Compartment Block

Acute pain and pain control: State of the art

2000 ◽  
Vol 35 (6) ◽  
pp. 592-603 ◽  
Author(s):  
James Ducharme
Keyword(s):  
Acute Pain ◽  
Pain Control ◽  
State Of The Art ◽  
Control State

Acute pain and pain control: State of the art

2000 ◽  
Vol 35 (6) ◽  
pp. 0592-0603 ◽  
Author(s):  
J. Michael Dean
Keyword(s):  
Acute Pain ◽  
Pain Control ◽  
State Of The Art ◽  
Control State

scholarly journals Assessment and Early Management of Pain in Hip Fractures: The Impact of Paracetamol

2018 ◽  
Vol 9 ◽  
pp. 215145931880644 ◽  
Author(s):  
Ján Dixon ◽  
Fiona Ashton ◽  
Paul Baker ◽  
Karl Charlton ◽  
Charlotte Bates ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Hip Fractures ◽  
Pain Control ◽  
Patient Comfort ◽  
Central Feature ◽  
Significant Finding ◽  
Early Management ◽  
Intravenous Paracetamol ◽  
Number Of Patients ◽  
The Impact

Introduction: As the number of patients sustaining hip fractures increases, interventions aimed at improving patient comfort and reducing complication burden acquire increased importance. Frailty, cognitive impairment, and difficulty in assessing pain control characterize this population. In order to inform future care, a review of pain assessment and the use of preoperative intravenous paracetamol (IVP) is presented. Materials and Methods: Systematic review of preoperative IVP administration in patients presenting with a hip fracture. Results: Intravenous paracetamol is effective in the early management of pain control in the hip fracture population. There is a considerable decrease in use of breakthrough pain medications when compared with other pain relief modalities. Additionally, IVP reduces the incidence of opioid-induced complications, reduces length of stay, and lowers mean pain scores. Another significant finding of this study is the poor administration of all analgesics to patients with hip fracture with up to 72% receiving no prehospital analgesia. Discussion: The potential benefits of IVP as routine in the early management of hip fracture-related pain are clear. Studies of direct comparison between analgesia regimes to inform optimum bundles of analgesic care are sparse. This study highlights the need for properly constructed pathway-driven comparator studies of contemporary analgesia regimes, with IVP as a central feature to optimize pain control and minimize analgesia-related morbidity in this vulnerable population.

Superior hypogastric nerve block for acute pain control in uterine fibroid embolisation

2016 ◽  
Vol 27 (3) ◽  
pp. S285-S286
Author(s):  
L. Boucher ◽  
A. Bahir ◽  
J. Yoon ◽  
D. Valenti ◽  
T. Cabrera ◽  
...  
Keyword(s):  
Nerve Block ◽  
Acute Pain ◽  
Uterine Fibroid ◽  
Pain Control ◽  
Hypogastric Nerve ◽  
Uterine Fibroid Embolisation

Postoperative pain control - the impact of an acute pain team

Acute Pain ◽  
1998 ◽  
Vol 1 (3) ◽  
pp. 7-13 ◽  
Author(s):  
Colm Lanigan ◽  
Nikki Luffingham
Keyword(s):  
Postoperative Pain ◽  
Acute Pain ◽  
Pain Control ◽  
Postoperative Pain Control ◽  
The Impact

scholarly journals P076: Delirium prevention in the emergency department using regional anesthesia with ultrasound guidance in the elderly population with hip fracture: a pilot study

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S103-S104 ◽  
Author(s):  
P. LeBlanc ◽  
V. Boucher ◽  
M. Émond ◽  
J. Courtemanche ◽  
M. Ménassa ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hip Fracture ◽  
Pilot Study ◽  
Regional Anesthesia ◽  
Pain Control ◽  
Elderly Population ◽  
The Elderly ◽  
Pain Reduction ◽  
Quebec City ◽  
Emergency Doctors

Introduction: The incidence of delirium following hip fracture is near 60%. The use of regional anesthesia (RA) with ultrasound (U/S) guidance has suggested a decrease in delirium incidence. In this pilot study, we propose to include the use of femoral block with U/S guidance in the management of the elderly population with hip fracture in the emergency department (ED) to lower the risk of delirium. Methods: This paired control case study was conducted from December 2013 to April 2015, and includes patients seen by emergency doctors from the ED of Hospital Enfant Jesus in Quebec City. Patients of the intervention and control groups were paired by age. Inclusion Criteria: Patients with(1) a hip fracture; (2) admitted to the hospital after their ED management; (3) and surgically repaired. Exclusion Criteria: Patients (1) with delirium upon arrival or a known mental/cognitive status (dementia, unconsciousness or severely ill status) (2) less than 60 years old (3) not able to speak English or French. Intervention group: Patients with hip fracture who received femoral blocks by the five emergency doctors who were trained and performed with U/S guidance. Control group: Patients with hip fracture who received standard pain control care by emergency doctors and who did not receive a femoral block. Analysis: Incidence of delirium and blocks performed by EM doctors were tallied. A comparison of absolute pain reduction at 30 minutes was also done. Odd ratios were derived and adjusted for age, sex, total opiates dose, delay before surgery and morbidity scores. Results: A total of 29 femoral blocks were performed through the analysis period. Groups were similar for age, sex and APACHE II and CHARLSON scores. A 30 minutes absolute pain reduction of 3/10 was noted. Two thirds of the blocks were performed by two ED doctors. Need for rescue medication was needed for 7% of patients for pain control at 30 minutes. Adjusted odd ratios for age, sex, morbidity scores, total opiate doses and delay before surgery revealed no decrease in delirium. Conclusion: Ten out of 26 patients hospitalized for hip fracture who received a femoral block under U/S guidance from the ED doctors were diagnosed with delirium. A Canadian prospective study «EDURAPID» is underway to demonstrate more the impact of R/A under U/S guidance on the incidence de delirium in this population.

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