{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T07:21:33Z","timestamp":1783581693900,"version":"3.55.0"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract:<\/jats:title>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>Hip fractures are associated with moderate-to-severe pain, which is frequently managed inadequately in emergency departments (EDs). This study set out to evaluate the analgesic effectiveness of an ultrasound-guided fascia iliaca compartment block (FIB) administered by emergency physicians to patients with peritrochanteric hip fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A prospective observational study was conducted on 142 patients presenting to the ED with peritrochanteric hip fractures and a baseline Visual Analog Scale (VAS) score of 4 or higher. An ultrasound-guided FIB was performed, and pain scores were assessed at baseline, 1, 2, and 6 h. The primary outcome was \u2265 50% reduction in VAS. The secondary outcomes included need for rescue analgesia (intravenous fentanyl 1 \u03bcg\/kg) and adverse events. Data were nonnormally distributed and analyzed using the Friedman test with Bonferroni-adjusted pairwise comparisons. Effect size and 95% confidence intervals (CIs) were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      The median VAS decreased from 7 (interquartile range [IQR]: 6\u20138) at baseline to 3 (IQR: 2\u20133) at 1 h, 2 (IQR: 1\u20132) at 2 h, and 1 (IQR: 1\u20132) at 6 h (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001, Friedman test; effect size\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = 0.83). A successful block (\u226550% VAS reduction) was achieved in 97.2% of patients (95% CI: 92.9%\u201399.1%). Only 4 (2.8%) patients required rescue fentanyl. No complications, including local anesthetic systemic toxicity or delirium, were recorded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Ultrasound-guided FIB administered by trained emergency physicians is associated with significant and sustained analgesia in patients with peritrochanteric hip fractures, with minimal need for rescue opioids and no observed adverse events.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/tjem.tjem_287_25","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T07:01:33Z","timestamp":1783580493000},"page":"217-222","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Ultrasound-guided fascia iliaca compartment block for pain control in peritrochanteric fractures in the emergency department: A prospective observational study"],"prefix":"10.4103","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9921-3245","authenticated-orcid":false,"given":"S. R.","family":"Vinayak","sequence":"first","affiliation":[{"name":"Department of Critical Care Medicine, Aster Medcity, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5008-9061","authenticated-orcid":false,"given":"Sibin","family":"Surendran","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Government Medical College, Kozhikode, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7638-5049","authenticated-orcid":false,"given":"R. S.","family":"Krishnakumar","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Kerala Medical College, Palakkad, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9023-5334","authenticated-orcid":false,"given":"S. L.","family":"Akhil","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Government Medical College, Thrissur, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4542-0151","authenticated-orcid":false,"given":"Austin Joju","family":"Mangaly","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Northampton General Hospital NHS Trust, Northampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4813-1195","authenticated-orcid":false,"given":"Midhun","family":"Mohan","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Kozhikode District Cooperative Hospital, Kozhikode, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0732-0651","authenticated-orcid":false,"given":"Chandni","family":"Radhakrishnan","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Government Medical College, Kozhikode, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"R1-20260709","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1177\/08982643221132450","article-title":"Hip fracture-related emergency department visits, hospitalizations and deaths by mechanism of injury among adults aged 65 and older, United States 2019","volume":"35","author":"Moreland","year":"2023","journal-title":"J Aging Health"},{"key":"R2-20260709","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s40814-016-0056-0","article-title":"Protocol-based management of older adults with hip fractures in Delhi, India: A feasibility study","volume":"2","author":"Yadav","year":"2016","journal-title":"Pilot Feasibility Stud"},{"key":"R3-20260709","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1111\/j.1532-5415.2005.00587.x","article-title":"The effect of emergency department crowding on the management of pain in older adults with hip fracture","volume":"54","author":"Hwang","year":"2006","journal-title":"J Am Geriatr Soc"},{"key":"R4-20260709","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1016\/0735-6757(89)90286-6","article-title":"Oligoanalgesia in the emergency department","volume":"7","author":"Wilson","year":"1989","journal-title":"Am J Emerg Med"},{"key":"R5-20260709","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/j.1742-6723.2009.01246.x","article-title":"Patterns of analgesia for fractured neck of femur in Australian emergency departments","volume":"22","author":"Holdgate","year":"2010","journal-title":"Emerg Med Australas"},{"key":"R6-20260709","doi-asserted-by":"crossref","first-page":"45","DOI":"10.2147\/LRA.S55322","article-title":"Regional anesthesia for the trauma patient: Improving patient outcomes","volume":"8","author":"Gadsden","year":"2015","journal-title":"Local Reg Anesth"},{"key":"R7-20260709","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1213\/00000539-198912000-00003","article-title":"Comparison of the fascia iliaca compartment block with the 3-in-1 block in children","volume":"69","author":"Dalens","year":"1989","journal-title":"Anesth Analg"},{"key":"R8-20260709","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1097\/00115550-200305000-00006","article-title":"Fascia iliaca compartment block for femoral bone fractures in prehospital care","volume":"28","author":"Lopez","year":"2003","journal-title":"Reg Anesth Pain Med"},{"key":"R9-20260709","doi-asserted-by":"crossref","first-page":"2490","DOI":"10.1016\/j.injury.2016.09.003","article-title":"Provision of fascia iliaca compartment block in the acute management of proximal femoral fractures: A national observational study of UK hospitals","volume":"47","author":"Miller","year":"2016","journal-title":"Injury"},{"key":"R10-20260709","doi-asserted-by":"crossref","first-page":"16","DOI":"10.5770\/cgj.16.52","article-title":"Survey of current practices: Peripheral nerve block utilization by ED physicians for treatment of pain in the hip fracture patient population","volume":"16","author":"Haslam","year":"2013","journal-title":"Can Geriatr J"},{"key":"R11-20260709","doi-asserted-by":"crossref","first-page":"1188","DOI":"10.5811\/westjem.2015.10.28270","article-title":"Single fascia iliaca compartment block is safe and effective for emergency pain relief in hip-fracture patients","volume":"16","author":"Groot","year":"2015","journal-title":"West J Emerg Med"},{"key":"R12-20260709","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.jemermed.2006.08.011","article-title":"Single fascia iliaca compartment block for post-hip fracture pain relief","volume":"32","author":"Godoy Monzon","year":"2007","journal-title":"J Emerg Med"},{"key":"R13-20260709","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1016\/j.jemermed.2012.01.050","article-title":"Ultrasound-guided fascia iliaca compartment block for hip fractures in the emergency department","volume":"43","author":"Haines","year":"2012","journal-title":"J Emerg Med"},{"key":"R14-20260709","first-page":"167","article-title":"Efficacy and duration of ultrasound guided fascia iliaca block for hip fracture performed in the emergency departments","volume":"24","author":"Levente","year":"2017","journal-title":"Rom J Anaesth Intensive Care"},{"key":"R15-20260709","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.ajem.2019.02.011","article-title":"Ultrasound guided supra-inguinal fascia iliaca compartment blocks in hip fracture patients: An alternative technique","volume":"38","author":"Ridderikhof","year":"2020","journal-title":"Am J Emerg Med"},{"key":"R16-20260709","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1136\/emermed-2013-203407","article-title":"Randomised trial of the fascia iliaca block versus the '3-in-1'block for femoral neck fractures in the emergency department","volume":"32","author":"Reavley","year":"2015","journal-title":"Emerg Med J"},{"key":"R17-20260709","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1097\/01.anes.0000264764.56544.d2","article-title":"Fascia iliaca compartment blockade for acute pain control in hip fracture patients: A randomized, placebo-controlled trial","volume":"106","author":"Foss","year":"2007","journal-title":"Anesthesiology"},{"key":"R18-20260709","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1016\/j.rapm.2006.08.009","article-title":"Pneumoretroperitoneum as a consequence of fascia iliaca block","volume":"31","author":"Shelley","year":"2006","journal-title":"Reg Anesth Pain Med"},{"key":"R19-20260709","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1097\/00000542-200103000-00029","article-title":"Postoperative neuropathy following fascia iliaca compartment blockade","volume":"94","author":"Atchabahian","year":"2001","journal-title":"Anesthesiology"},{"key":"R20-20260709","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/1757-7241-22-38","article-title":"Prehospital administered fascia iliaca compartment block by emergency medical service nurses, a feasibility study","volume":"22","author":"Dochez","year":"2014","journal-title":"Scand J Trauma Resusc Emerg Med"}],"container-title":["Turkish Journal of Emergency 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History"}},{"value":"2025-12-22","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}