Ultrasound‐guided femoral nerve block and intravenous fentanyl in pain management of the patients with hip fracture: a prospective, randomized, single blinded clinical trial
Aim Proximal femoral fracture is a painful condition. Pain alleviation is a treatment cornerstone to both comfort the patient and reduce adverse effects. This study aimed to evaluate and compare ultrasound‐guided femoral nerve block and intravenous fentanyl administration in relieving the pain of pa...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Acute Medicine & Surgery |
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| Online Access: | https://doi.org/10.1002/ams2.804 |
| _version_ | 1797976117248786432 |
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| author | Masoud Mayel Mahdi Foroughian Nasim Zamani Nazanin Shahabinejad Hossein Hassanian‐Moghaddam |
| author_facet | Masoud Mayel Mahdi Foroughian Nasim Zamani Nazanin Shahabinejad Hossein Hassanian‐Moghaddam |
| author_sort | Masoud Mayel |
| collection | DOAJ |
| description | Aim Proximal femoral fracture is a painful condition. Pain alleviation is a treatment cornerstone to both comfort the patient and reduce adverse effects. This study aimed to evaluate and compare ultrasound‐guided femoral nerve block and intravenous fentanyl administration in relieving the pain of patients with hip fractures. Methods The present interventional clinical trial was conducted on 40 patients referred to Shahid‐Bahonar Hospital with unilateral isolated proximal femur fracture and American Society of Anesthesiologists I and II. The patients were randomly divided into two groups: intravenous fentanyl and ultrasound‐guided femoral nerve block for pain management. Pain severity was assessed by a numerical rating scale before and after the intervention in both groups and the groups were then compared. Results Forty patients were enrolled in to study; 27 (67.5%) were male. There was no significant difference in demographic variables between the two groups. Fourteen (35%) were older than 80 years. Pain significantly decreased three scores compared to the pre‐intervention level in both groups (95% confidence interval, 2–4). This was slightly higher in the femoral nerve block group. The largest strength of association for age and numerical rating scale of pain was found in the differences between the pre‐intervention and after‐intervention in femoral nerve block group (r = −0.775, P < 0.001). Conclusion We found similar pain severity between the two groups. Considering the possible side effects of fentanyl, an ultrasound‐guided femoral nerve block shows may provide safer pain control and may be particularly suitable for patients with opioid dependence. |
| first_indexed | 2024-04-11T04:46:15Z |
| format | Article |
| id | doaj.art-09e201090bf2416c9ec5bc884b4bf97d |
| institution | Directory Open Access Journal |
| issn | 2052-8817 |
| language | English |
| last_indexed | 2024-04-11T04:46:15Z |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acute Medicine & Surgery |
| spelling | doaj.art-09e201090bf2416c9ec5bc884b4bf97d2022-12-27T12:22:49ZengWileyAcute Medicine & Surgery2052-88172022-01-0191n/an/a10.1002/ams2.804Ultrasound‐guided femoral nerve block and intravenous fentanyl in pain management of the patients with hip fracture: a prospective, randomized, single blinded clinical trialMasoud Mayel0Mahdi Foroughian1Nasim Zamani2Nazanin Shahabinejad3Hossein Hassanian‐Moghaddam4Department of Emergency Medicine, School of Medicine Kerman University of Medical Sciences Kerman IranDepartment of Emergency Medicine, School of Medicine Kerman University of Medical Sciences Kerman IranSocial Determinants of Health Research Center Shahid Beheshti University of Medical Sciences Tehran IranStudent Research Committee Kerman University of Medical Sciences Kerman IranSocial Determinants of Health Research Center Shahid Beheshti University of Medical Sciences Tehran IranAim Proximal femoral fracture is a painful condition. Pain alleviation is a treatment cornerstone to both comfort the patient and reduce adverse effects. This study aimed to evaluate and compare ultrasound‐guided femoral nerve block and intravenous fentanyl administration in relieving the pain of patients with hip fractures. Methods The present interventional clinical trial was conducted on 40 patients referred to Shahid‐Bahonar Hospital with unilateral isolated proximal femur fracture and American Society of Anesthesiologists I and II. The patients were randomly divided into two groups: intravenous fentanyl and ultrasound‐guided femoral nerve block for pain management. Pain severity was assessed by a numerical rating scale before and after the intervention in both groups and the groups were then compared. Results Forty patients were enrolled in to study; 27 (67.5%) were male. There was no significant difference in demographic variables between the two groups. Fourteen (35%) were older than 80 years. Pain significantly decreased three scores compared to the pre‐intervention level in both groups (95% confidence interval, 2–4). This was slightly higher in the femoral nerve block group. The largest strength of association for age and numerical rating scale of pain was found in the differences between the pre‐intervention and after‐intervention in femoral nerve block group (r = −0.775, P < 0.001). Conclusion We found similar pain severity between the two groups. Considering the possible side effects of fentanyl, an ultrasound‐guided femoral nerve block shows may provide safer pain control and may be particularly suitable for patients with opioid dependence.https://doi.org/10.1002/ams2.804Femoral nerve blockfentanylopioidspain reliefultrasound |
| spellingShingle | Masoud Mayel Mahdi Foroughian Nasim Zamani Nazanin Shahabinejad Hossein Hassanian‐Moghaddam Ultrasound‐guided femoral nerve block and intravenous fentanyl in pain management of the patients with hip fracture: a prospective, randomized, single blinded clinical trial Acute Medicine & Surgery Femoral nerve block fentanyl opioids pain relief ultrasound |
| title | Ultrasound‐guided femoral nerve block and intravenous fentanyl in pain management of the patients with hip fracture: a prospective, randomized, single blinded clinical trial |
| title_full | Ultrasound‐guided femoral nerve block and intravenous fentanyl in pain management of the patients with hip fracture: a prospective, randomized, single blinded clinical trial |
| title_fullStr | Ultrasound‐guided femoral nerve block and intravenous fentanyl in pain management of the patients with hip fracture: a prospective, randomized, single blinded clinical trial |
| title_full_unstemmed | Ultrasound‐guided femoral nerve block and intravenous fentanyl in pain management of the patients with hip fracture: a prospective, randomized, single blinded clinical trial |
| title_short | Ultrasound‐guided femoral nerve block and intravenous fentanyl in pain management of the patients with hip fracture: a prospective, randomized, single blinded clinical trial |
| title_sort | ultrasound guided femoral nerve block and intravenous fentanyl in pain management of the patients with hip fracture a prospective randomized single blinded clinical trial |
| topic | Femoral nerve block fentanyl opioids pain relief ultrasound |
| url | https://doi.org/10.1002/ams2.804 |
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