ABSTRACTS FOR CONSIDERATIONS IN THE MANAGEMENT OF TRAUMA, FREE PAPER SESSION 2
Abstracts for Considerations in the Management of Trauma, Free Paper Session 2, Wednesday 16 September 15.45–16.30, Pippard Lecture TheatreFascia iliaca compartment block in the emergency department
West Suffolk Hospital
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Introduction
Fascia iliaca compartment block (FICB) was first described by Dalens in 1989 and is widely used by anaesthetists for elective orthopaedic surgery. Hip fractures usually cause considerable pain and the use of opioids is associated with significant adverse effects. The block involves infiltration of local anaesthetic just behind the fascia iliaca at the junction of the lateral third and medical two-thirds of the inguinal ligament.
Material and Methods
We carried out a pilot study to assess the feasibility of performing FICB as an emergency after hip fractures. The procedure was carried out by emergency physicians using a total volume of 30 ml local anaesthetic delivered through a semi-blunt needle. The local anaesthetic solution was a mixture of lignocaine 1% and bupivacaine 0.5% in a weight-based dose. A subjective pain score using a 10-point visual
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