Pregledni rad
https://doi.org/10.20471/acc.2022.61.s1.13
Peripheral Nerve Blocks for Hip Fractures in Emergency Medicine
Anđela Simić
; Institute of Emergency Medicine Varaždin County, Varaždin, Croatia
Višnja Nesek Adam
orcid.org/0000-0002-6521-4136
; University Hospital Sveti Duh, Emergency Medicine Department; University Hospital Sveti Duh, University Department of Anesthesiology, Resuscitation and Intensive Care; Josip Juraj Strossmayer University in Osijek, Medical School Osijek; Libertas International University, Zagreb, Croatia
Damir Rošić
; Institute of Emergency Medicine of Primorje – Gorski Kotar County; The Medical School of the Catholic University of Croatia
Nikola Kočet
; Institute of Emergency Medicine Varaždin County, Varaždin, Croatia
Maja Svetec
; Institute of Emergency Medicine Varaždin County, Varaždin, Croatia
Ana Herceg
; Institute of Emergency Medicine Varaždin County, Varaždin, Croatia
Adis Keranović
; University Hospital Center Zagreb, Emergency Medicine Department, Zagreb, Croatia
Žarko Rašić
; University Hospital Sveti Duh, University Department of Surgery; University in Zagreb, School of Medicine, Zagreb, Croatia
Sažetak
Hip fractures represent a major public health issue with increasing incidence as a
population ages. The aim of this review is to describe peripheral nerve block techniques (the fascia
iliaca compartment block and the pericapsular nerve group block) as pain management for hip fractures
in emergency medicine, and to emphasize their benefits. Hip fractures are extremely painful injuries.
The pain itself is unpleasant for patients and if left untreated it can lead to multiple complications
during preoperative, operative and postoperative patient management. Pain management for
elderly hip fracture patients is often challenging. Non-steroidal anti-inflammatory drugs are not recommended
due to their side effects, the increased risk of gastrointestinal bleeding, renal function
impairment and platelet aggregation inhibition. Paracetamol alone is often insufficient, and opioids
have many potentially harmful side effects, such as delirium development. Peripheral nerve blocks for
hip fractures are safe and effective, also in emergency medicine settings. The benefits for patients are
greater pain relief, especially during movement, less opioid requirements and decreased incidence of
delirium. Regional analgesia should be routinely used in hip fracture pain management.
Ključne riječi
Hip Fractures; Pain Management; Nerve Block; Emergency Medicine
Hrčak ID:
281199
URI
Datum izdavanja:
1.6.2022.
Posjeta: 2.617 *