Application for ESRA Abstract Prizes: I apply as an Anesthesiologist (Aged 35 years old or less)

Background and Aims Hip fractures are often painful and its management is difficult because of the patients are usually geriatric and with multiple comorbidities. Traditional pain management in the elderly population is difficult because of physiologic changes and comorbidities. Regional anesthesia is an increasingly used option in Emergengy Department, which not only reduces pain but also might reduce the adverse events of parenteral analgesics. The purpose of this study was to assess the effectiveness of suprainguinal FICB for pain control, compared with Femoral Block with proximal femoral fracture. We hypothesized that suprainguinal FICB can provide a satisfactory analgesic effect while avoiding the risk of procedure-related complications.

Methods Between January 2019 and October 2019 all adult patients (aged18 years and older) with a radiologically confirmed proximal femoral fracture presenting to the KSU Faculty of Medicine Emergency Department were included in this study. The primary study outcome was decrease in NRS pain scores, as measured at 20 min after administration of the FICB compared to baseline during initial presentation in the Emergency Department.

Results Block onset time was statistically lower at FICB group (p<0.001). VAS scores at 20. min was 0 at two groups. VAS scores at 4. hour and 6.hour was higher in FICB group (p<0.001). First analgesic use time was statistically lower in FICB group (p<0.001).

Conclusions The Ultrasound guided supra-inguinal FICB and femoral nerve block leads to a significant and clinically relevant decrease in NRS pain scores in the majority of hip fracture patients in the Emergency Department.