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Titre : | Can we reduce morphine use in elderly, proximal femoral fracture patients using a fascia iliac block? (2018) |
Auteurs : | Al-Amin M. Kassam ; Anthony T. Gough ; Joanna Davies ; et al. |
Type de document : | Article |
Dans : | Geriatric Nursing (Vol. 39, n°1, January/February 2018) |
Article en page(s) : | p. 84-87 |
Note générale : | https://doi.org/10.1016/j.gerinurse.2017.07.003 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Analgésie ; Fracture ; Hanche ; Morphine ; Sujet âgé |
Mots-clés: | Fracture fémorale |
Résumé : | Proximal femoral fractures are becoming increasingly common with an ageing population. Many patients have multiple comorbidities increasing their risk of opiate complications. 40 consecutive patients presenting with a proximal femoral fracture to a trauma centre in the UK were given either a Fascia Iliaca Block (FIB) with oral analgesia or just oral analgesia to control their pre-operative pain. Numeric pain scores and morphine consumption were used as outcome measures. Patients receiving a FIB had significant reduction in their pain scores compared to patients only receiving oral pain relief. There was also a significant reduction in both the actual oral morphine taken and the renal calculated level of morphine products in the group receiving the FIB. Patients undergoing a FIB required almost 50 mg less oral morphine pre-operatively. Nerve blocks should be used routinely to help pre-operative pain in proximal femoral fracture patients and to reduce the amount of morphine products prescribed. This prevents potential opiate complications in a highly susceptible cohort of patients often suffering with impaired renal function as a co-morbidity. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |