Femoral nerve block versus fentanyl: Analgesia for positioning patients with fractured femur

Abstract

We were unable to demonstrate a benefit of FNB over IV fentanyl for patient positioning before spinal block. However, FNB can provide postoperative pain relief, whereas side effects of fentanyl must be considered, and analgesic dosing should be titrated based on pain scores. A multimodal approach (FNB + IV fentanyl) may be a possible option.

References

Page 1

	Year	Citations
Association of Timing of Surgery for Hip Fracture and Patient Outcomes Gretchen M. Orosz JAMA	2004	638
Clinically Oriented Anatomy Carmine Clemente JAMA Gross AnatomyImaging AnatomyWebsite Uses CookiesComputer-assisted SurgeryAnatomical Variations	2008	479
Ultrasonographic Guidance Improves Sensory Block and Onset Time of Three-in-One Blocks Peter Marhofer, Klaus F. Schrögendorfer, Herbert Koinig, Anesthesia & Analgesia	1997	347
Ultrasonographic Guidance Improves Sensory Block and Onset Time of Three-in-One Blocks Peter Marhofer, Klaus F. Schrögendorfer, Herbert Koinig, Anesthesia & Analgesia Onset TimePain MedicineMotor ControlSurgeryLower Extremity	1997	325
Three-in-one femoral nerve block as analgesia for fractured neck of femur in the emergency department: A randomized, controlled trial Alan K. Fletcher, Alan S. Rigby, Francis L.P. Heyes Annals of Emergency Medicine Health SciencesAcute PainPain MedicinePostoperative Pain ManagementFemoral Nerve Block	2003	204
Femoral nerve block in extracapsular femoral neck fractures F. S. Haddad Journal of Bone and Joint Surgery - British Volume Skeletal TraumaPain MedicineSystemic AnalgesiaFemoral Nerve BlockPostoperative Pain Management	1995	120
Textbook of Regional Anesthesia Lawrence C. Tsen Anesthesia & Analgesia Regional Anesthesia P.pMedicinePatient SafetyAnesthesia PracticeSurgical Science	2003	86
Continuous psoas compartment block for anesthesia and perioperative analgesia in patients with hip fractures Haim Berkenstadt, Moshe Salai, Alex Cahana, Regional Anesthesia & Pain Medicine	1999	85
Continuous Psoas Compartment Block for Anesthesia and Perioperative Analgesia in Patients With Hip Fractures Haim Berkenstadt, Moshe Salai, Alex Cahana, Regional Anesthesia & Pain Medicine Anaesthetic AgentHealth SciencesPain MedicineMedicinePreoperative Pain	1999	73
A national survey into the peri‐operative anaesthetic management of patients presenting for surgical correction of a fractured neck of femur* M. Sandby‐Thomas, G. Sullivan, James Edwin Hall Anaesthesia Pain MedicineSurgeryAmbulatory AnesthesiaPeri‐operative Anaesthetic ManagementOrthopaedic Surgery	2008	72

Page 1