Brown Jeffrey B, Grenz Phillip M, Schultz Kristine L, Quinn Shawn M, Lee Stephen A, Greenberg Marna Rayl, Paulson Claire L
Department of Emergency and Hospital Medicine, Lehigh Valley Health Network/ USF Morsani College of Medicine, Cedar Crest Blvd. & I-78, Allentown, PA 18103, USA.
EM Research, 5th Floor, South Wing, 2545 Schoenersville Rd., Bethlehem, PA 18017, USA.
Radiol Case Rep. 2023 Jan 31;18(4):1427-1430. doi: 10.1016/j.radcr.2023.01.034. eCollection 2023 Apr.
According to the Centers for Disease Control and Prevention, hip and femoral neck fractures are common fractures seen in older adults. Lower extremity nerve blocks are a tool available for pain control in these patients. One type of block that can be used in this type of fracture is the fascia iliaca compartment block. Clinicians sometimes do not utilize these blocks despite having been shown to produce better pain relief than a standard regimen of intravenous medications. We present a case of a 76-year-old female patient who had inadequate pain relief from intravenous medications. We illustrate the utilization of a standardized approach to a fascia iliaca compartment block using point-of-care ultrasound in the setting of a femoral neck fracture.
根据疾病控制与预防中心的数据，髋部和股骨颈骨折是老年人常见的骨折类型。下肢神经阻滞是用于控制这些患者疼痛的一种手段。在这类骨折中可使用的一种阻滞方法是髂筋膜室阻滞。尽管已证明髂筋膜室阻滞比标准的静脉用药方案能产生更好的疼痛缓解效果，但临床医生有时并未使用这些阻滞方法。我们报告一例76岁女性患者，其静脉用药的疼痛缓解效果不佳。我们展示了在股骨颈骨折情况下使用床旁超声对髂筋膜室阻滞采用标准化方法的应用。
