The Fascia Iliaca (FI) Block was first described in the late 1980’s in the context of children undergoing lower limb surgery1. Its use for the management of femoral neck and shaft fractures in the emergency department has become more common since, initially using a landmark technique.

Ultrasound has been shown to increase the success of blocks and increases safety by allowing injection of local anaesthetic under direct vision2,3.

The use of FI blocks in the emergency department has been shown to provide effective pain relief in the acute setting and to reduce the use of opiate analgesia4,5. This is particularly important in the elderly population as it may decrease risk of delirium6.

It is important to remember that surgery is the definitive analgesia for hip fractures, and a patient’s journey to the operating theatre should not be unnecessarily delayed7.

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Nice topic applicable to every day ED practice

Dr Syed Shahbaz Ahmer January 26, 2024 at 4:23 pm

Great Learning Session

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