Continuous fascia iliaca block for acute hip fractures: a randomized-controlled pilot study
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To the Editor,
We read with interest the letter from Henderson et al. regarding improving care for elderly patients with hip fracture through interdisciplinary collaboration in regional anesthesia.1 We recently completed a randomized-controlled pilot study of 30 patients looking at continuous fascia iliaca blocks (cFIBs) to improve pain in hip fracture patients waiting for surgery (clinicaltrials.gov NCT03588689).
The fascia iliaca block (FIB) is a compartment field block that targets the femoral, obturator, and the lateral cutaneous nerve of the thigh. Studies have shown the efficacy of FIBs in treating pain from hip fractures, and in surgeries involving the hip, knee, and anterior thigh. Successful blockade requires deposition of large volumes of local anesthetic (30–40 mL).2,3
Because wait times in our institution average two days from the time of hip fracture until surgical repair, we hypothesized that a cFIB would improve pain control and decrease opioid use, thereby showing...
Conflicts of interest
This submission was handled by Dr. Philip M. Jones, Associate Editor, Canadian Journal of Anesthesia.
- 1.Henderson CY, Abdel-Galil R, Woo MY, et al. Improving care for elderly patients with hip fracture: interdisciplinary collaboration in regional analgesia. Can J Anesth 2019; DOI: https://doi.org/10.1007/s12630-019-01362-3.
- 4.Guay J, Parker MJ, Griffiths R, Kopp S. Peripheral nerve blocks for hip fractures. Cochrane Database Syst Rev 2017; 5: CD001159.Google Scholar