A point-of-care ultrasound approach to fascia iliaca nerve block in a patient with a hip fracture
According to the Centers for Disease Control and Prevention, hip and femoral neck fractures are common fractures seen in older adults. Lower extremity nerve blocks are a tool available for pain control in these patients. One type of block that can be used in this type of fracture is the fascia iliac...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-04-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323000262 |
| _version_ | 1828004603191361536 |
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| author | Jeffrey B. Brown, BS Phillip M. Grenz, DO Kristine L. Schultz, MD Shawn M. Quinn, DO Stephen A. Lee, DO Marna Rayl Greenberg, DO, MPH Claire L. Paulson, DO |
| author_facet | Jeffrey B. Brown, BS Phillip M. Grenz, DO Kristine L. Schultz, MD Shawn M. Quinn, DO Stephen A. Lee, DO Marna Rayl Greenberg, DO, MPH Claire L. Paulson, DO |
| author_sort | Jeffrey B. Brown, BS |
| collection | DOAJ |
| description | According to the Centers for Disease Control and Prevention, hip and femoral neck fractures are common fractures seen in older adults. Lower extremity nerve blocks are a tool available for pain control in these patients. One type of block that can be used in this type of fracture is the fascia iliaca compartment block. Clinicians sometimes do not utilize these blocks despite having been shown to produce better pain relief than a standard regimen of intravenous medications. We present a case of a 76-year-old female patient who had inadequate pain relief from intravenous medications. We illustrate the utilization of a standardized approach to a fascia iliaca compartment block using point-of-care ultrasound in the setting of a femoral neck fracture. |
| first_indexed | 2024-04-10T07:17:24Z |
| format | Article |
| id | doaj.art-7be35956c1224340b77ed29a69b9901d |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-10T07:17:24Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-7be35956c1224340b77ed29a69b9901d2023-02-25T04:09:40ZengElsevierRadiology Case Reports1930-04332023-04-0118414271430A point-of-care ultrasound approach to fascia iliaca nerve block in a patient with a hip fractureJeffrey B. Brown, BS0Phillip M. Grenz, DO1Kristine L. Schultz, MD2Shawn M. Quinn, DO3Stephen A. Lee, DO4Marna Rayl Greenberg, DO, MPH5Claire L. Paulson, DO6Department of Emergency and Hospital Medicine, Lehigh Valley Health Network/ USF Morsani College of Medicine, Cedar Crest Blvd. & I-78, Allentown, PA 18103, USADepartment of Emergency and Hospital Medicine, Lehigh Valley Health Network/ USF Morsani College of Medicine, Cedar Crest Blvd. & I-78, Allentown, PA 18103, USADepartment of Emergency and Hospital Medicine, Lehigh Valley Health Network/ USF Morsani College of Medicine, Cedar Crest Blvd. & I-78, Allentown, PA 18103, USADepartment of Emergency and Hospital Medicine, Lehigh Valley Health Network/ USF Morsani College of Medicine, Cedar Crest Blvd. & I-78, Allentown, PA 18103, USADepartment of Emergency and Hospital Medicine, Lehigh Valley Health Network/ USF Morsani College of Medicine, Cedar Crest Blvd. & I-78, Allentown, PA 18103, USADepartment of Emergency and Hospital Medicine, Lehigh Valley Health Network/ USF Morsani College of Medicine, Cedar Crest Blvd. & I-78, Allentown, PA 18103, USA; EM Research, 5th Floor, South Wing, 2545 Schoenersville Rd., Bethlehem, PA 18017, USA; Corresponding author.Department of Emergency and Hospital Medicine, Lehigh Valley Health Network/ USF Morsani College of Medicine, Cedar Crest Blvd. & I-78, Allentown, PA 18103, USAAccording to the Centers for Disease Control and Prevention, hip and femoral neck fractures are common fractures seen in older adults. Lower extremity nerve blocks are a tool available for pain control in these patients. One type of block that can be used in this type of fracture is the fascia iliaca compartment block. Clinicians sometimes do not utilize these blocks despite having been shown to produce better pain relief than a standard regimen of intravenous medications. We present a case of a 76-year-old female patient who had inadequate pain relief from intravenous medications. We illustrate the utilization of a standardized approach to a fascia iliaca compartment block using point-of-care ultrasound in the setting of a femoral neck fracture.http://www.sciencedirect.com/science/article/pii/S1930043323000262POCUSNerve blockFascia iliaca compartment block |
| spellingShingle | Jeffrey B. Brown, BS Phillip M. Grenz, DO Kristine L. Schultz, MD Shawn M. Quinn, DO Stephen A. Lee, DO Marna Rayl Greenberg, DO, MPH Claire L. Paulson, DO A point-of-care ultrasound approach to fascia iliaca nerve block in a patient with a hip fracture Radiology Case Reports POCUS Nerve block Fascia iliaca compartment block |
| title | A point-of-care ultrasound approach to fascia iliaca nerve block in a patient with a hip fracture |
| title_full | A point-of-care ultrasound approach to fascia iliaca nerve block in a patient with a hip fracture |
| title_fullStr | A point-of-care ultrasound approach to fascia iliaca nerve block in a patient with a hip fracture |
| title_full_unstemmed | A point-of-care ultrasound approach to fascia iliaca nerve block in a patient with a hip fracture |
| title_short | A point-of-care ultrasound approach to fascia iliaca nerve block in a patient with a hip fracture |
| title_sort | point of care ultrasound approach to fascia iliaca nerve block in a patient with a hip fracture |
| topic | POCUS Nerve block Fascia iliaca compartment block |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323000262 |
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