{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T16:45:27Z","timestamp":1765903527193,"version":"3.48.0"},"reference-count":0,"publisher":"Tunisian Society of Medical Sciences","issue":"5","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tunis Med"],"abstract":"<jats:p>Introduction : Les fractures de l\u2019extr\u00e9mit\u00e9 sup\u00e9rieure du f\u00e9mur (FESF) associent des l\u00e9sions extr\u00eamement douloureuses et survenant g\u00e9n\u00e9ralement chez des patients \u00e2g\u00e9s et multi tar\u00e9s et qui sont vuln\u00e9rables aux opio\u00efdes. Dans ce contexte l\u2019analg\u00e9sie locor\u00e9gionale \u00e9cho-guid\u00e9e pourrait \u00eatre une alternative int\u00e9ressante.\nObjectif\u00a0: \u00e9tudier la variation de la douleur des patients traumatis\u00e9s de la hanche trait\u00e9s par bloc ilio facial \u00e9cho-guid\u00e9 aux urgences.\nM\u00e9thodes : Il s\u2019agit d\u2019une \u00e9tude observationnelle et descriptive, sur une dur\u00e9e de 10 mois incluant des patients \u00e2g\u00e9s de 16 ans et plus, pr\u00e9sentant une FESF isol\u00e9e, chez lesquels l\u2019\u00e9chelle num\u00e9rique (EN) a pu \u00eatre \u00e9valu\u00e9e.\nLe crit\u00e8re de jugement principal \u00e9tait une baisse significative de la douleur (\u0394EN\u22652). Les crit\u00e8res de jugement secondaires \u00e9taient la survenue de complication et le recours a\u0300 une analg\u00e9sie de sauvetage.\nR\u00e9sultats : Inclusion de 42 patients. L\u2019a\u0302ge moyen \u00e9tait de 66\u00b117 ans avec un genre ratio de 0,9. La moyenne de l\u2019EN initiale \u00e9tait a\u0300 9.12\u00b11.3. La valeur de l\u2019EN moyenne \u00e9tait de 5.6 \u00e0 30 minutes et 3.9 \u00e0 120 minutes soit une \u0394 EN de 3,9 \u00e0 30 minutes et de 5,2 \u00e0 120 minutes. Quatre-vingt-cinq pour cent ont eu une baisse significative de la douleur apr\u00e8s 30 minutes du BIF et six patients ont n\u00e9cessit\u00e9 une analg\u00e9sie de sauvetage. Aucun effet ind\u00e9sirable n\u2019a \u00e9t\u00e9 enregistr\u00e9.\nConclusion: Le BIF \u00e9cho-guid\u00e9, peut \u00eatre r\u00e9alis\u00e9 en milieu d\u2019urgence par les urgentistes en toute s\u00e9curit\u00e9, et ceci apr\u00e8s une formation ad\u00e9quate a\u0300 cette technique.<\/jats:p>","DOI":"10.62438\/tunismed.v103i5.5535","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T16:43:23Z","timestamp":1765903403000},"source":"Crossref","is-referenced-by-count":0,"title":["Bloc ilio-facial \u00e9cho guid\u00e9 aux urgences : Efficacit\u00e9 et s\u00e9curit\u00e9"],"prefix":"10.62438","volume":"103","author":[{"given":"Aymen","family":"Zoubli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdelaziz","family":"Ben Taher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nizar","family":"Fitouhi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed Amin","family":"Abri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hana","family":"Hedhli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Assma","family":"Jendoubi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Safia","family":"Othmani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhekra","family":"Hosni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarra","family":"Jouini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"31112","published-online":{"date-parts":[[2025,5,1]]},"container-title":["La Tunisie M\u00e9dicale"],"original-title":[],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T16:43:23Z","timestamp":1765903403000},"score":1,"resource":{"primary":{"URL":"https:\/\/latunisiemedicale.com\/index.php\/tunismed\/article\/view\/5535"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,1]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2025,5,1]]}},"URL":"https:\/\/doi.org\/10.62438\/tunismed.v103i5.5535","relation":{},"ISSN":["2724-7031","0041-4131"],"issn-type":[{"value":"2724-7031","type":"electronic"},{"value":"0041-4131","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5,1]]}}}