A point-of-care ultrasound approach to fascia iliaca nerve block in a patient with a hip fracture.

Authors

Jeffrey B. Brown, Lehigh Valley Health NetworkFollow
Phillip M. Grenz DO, Lehigh Valley Health NetworkFollow
Kristine L. Schultz MD, Lehigh Valley Health NetworkFollow
Shawn M. Quinn DO, Lehigh Valley Health NetworkFollow
Stephen A Lee DO, Lehigh Valley Health NetworkFollow
Marna R. Greenberg DO, MPH, FACEP, Lehigh Valley Health NetworkFollow
Claire L. Paulson DO, Lehigh Valley Health NetworkFollow

Publication/Presentation Date

4-1-2023

Abstract

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.

Volume

18

Issue

4

First Page

1427

Last Page

1430

ISSN

1930-0433

Published In/Presented At

Brown, J. B., Grenz, P. M., Schultz, K. L., Quinn, S. M., Lee, S. A., Greenberg, M. R., & Paulson, C. L. (2023). A point-of-care ultrasound approach to fascia iliaca nerve block in a patient with a hip fracture. Radiology case reports, 18(4), 1427–1430. https://doi.org/10.1016/j.radcr.2023.01.034

Disciplines

Medicine and Health Sciences

PubMedID

36798070

Department(s)

Department of Emergency Medicine, Department of Emergency Medicine Residents, Department of Emergency Medicine Faculty, USF-LVHN SELECT Program, USF-LVHN SELECT Program Faculty, USF-LVHN SELECT Program Students

Document Type

Article