Resurrection Medical Center, Emergency Medicine Residency Program, Chicago, IL.
West J Emerg Med. 2010 Sep;11(4):310-3.
Femur fractures typically affect elderly patients with multiple co-morbidities. Pain control can be difficult, requiring intensive nursing and physician care as elderly patients may manifest cardiovascular and respiratory complications from opiate administration. Ultrasound (US)-guided three-in-one (3-in-1) femoral nerve block (FNB) is an option for pain management in patients with femur fractures, as it provides regional anesthesia to the femoral, obturator and lateral cutaneous nerves. Our goal is to provide medical education regarding the use of US-guided 3-in-1FNB as a rapid and easy procedure that may provide optimal patient care in patients with femur fractures.
股骨骨折通常影响伴有多种合并症的老年患者。疼痛控制可能较为困难，需要加强护理和医生的照护，因为老年患者可能会因阿片类药物的使用而表现出心血管和呼吸系统并发症。超声（US）引导下三合一（3-in-1）股神经阻滞（FNB）是股骨骨折患者疼痛管理的一种选择，因为它可以为股神经、闭孔神经和股外侧皮神经提供区域麻醉。我们的目标是提供有关 US 引导下 3-in-1FNB 使用的医学教育，因为它是一种快速且简单的程序，可能为股骨骨折患者提供最佳的患者护理。
