{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:39:19Z","timestamp":1787841559411,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["JWAS"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The most common approach to managing severe pain following femoral fracture is with intravenous systemic analgesics, such as opioid analgesics and non-steroidal anti-inflammatory drugs associated with side effects such as respiratory depression, nausea, and vomiting. These side effects might be intolerable in trauma patients and may result in under treatment of pain. Improving the quality of analgesia may reduce these intolerable side effects. Our study compared the efficacy of fascia iliaca compartment block (FICB) with intravenous analgesics for preoperative pain management of femoral fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>The study was a quality improvement prospective randomised study, where 50 patients aged between 18 and 65 years, and American society of anesthesiologists I and II were recruited into two groups. Group A received FICB with a combination of 0.4\u2009mL\/kg of 0.5% plain bupivacaine and adrenaline 1:200,000 made up to 30\u2009mL, while group B received placebo FICB using 30\u2009mL normal saline. Also, group B received a combination of intravenous paracetamol 15\u2009mg\/kg not exceeding 900\u2009mg and tramadol 1\u2009mg\/kg not exceeding 100\u2009mg, while group A received an equal volume as normal saline intravenously.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The study revealed no significant difference in age, gender, associated injuries, X-ray description of fractures, and mechanism of injuries; however, there was a significant difference in the NRS-pain score at 30\u2009min, summed pain intensity difference for 4\u2009h and patient satisfaction in the FICB group compared to the standard group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The study revealed that FICB results in better pain control compared to a combination of intravenous tramadol and paracetamol in patients with femoral fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jwas.jwas_66_23","type":"journal-article","created":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T12:58:08Z","timestamp":1723121888000},"page":"255-261","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A comparison of fascia iliaca compartment block with intravenous analgesia to improve pain control in patients with femoral fracture"],"prefix":"10.4103","volume":"14","author":[{"given":"Mohammed Adinoyi","family":"Usman","sequence":"first","affiliation":[{"name":"Federal University, Dutse, Jigawa, Nigeria"},{"name":"Department of Anaesthesia and ICU, Rasheed Shekoni Teaching Hospital, Dutse, Jigawa, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Bashir","family":"Rabiu","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and ICU, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalhat","family":"Salahu","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and ICU, Aminu Kano University Teaching Hospital, Kano, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,5,24]]},"reference":[{"key":"CIT0001-20240907","doi-asserted-by":"crossref","first-page":"462","DOI":"10.4103\/1119-3077.151761","article-title":"Pattern of femoral fractures and associated injuries in a Nigerian tertiary trauma centre","volume":"18","author":"Anyaehie","year":"2015","journal-title":"Niger J Clin Pract"},{"key":"CIT0002-20240907","doi-asserted-by":"crossref","first-page":"315","DOI":"10.5694\/mja16.00133","article-title":"Acute pain management: Scientific evidence, fourth edition, 2015","volume":"204","author":"Schug","year":"2016","journal-title":"Med J 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