Efficacy of Fascia Iliaca Block for Pain Management in Hip Fracture Patients

Haider Mohammed Mahdi ^1*

Enhances hip fracture pain relief, reduces opioid use, shortens hospital stays, improves patient outcomes and satisfaction.

Abstract

Background: Hip fractures are a major concern for older adults, leading to high mortality rates and significant healthcare costs. Effective pain management is critical for improving outcomes. This study evaluates the implementation of the Fascia Iliaca Compartment Block (FICB) as a standard procedure for preoperative pain relief in hip fracture patients. Methods: A continuous audit of FICB implementation was conducted over two years, encompassing three review cycles. Patients with hip fractures received FICB within four hours of admission. Pain scores and opioid requirements were monitored, and clinical outcomes such as length of stay and mortality rates were analyzed. Results: The study included 434 patients, with 326 receiving FICB. FICB uptake improved from 62% to 84% over the cycles. Pain scores significantly decreased, and opioid use was reduced in the FICB group compared to the control group. Mortality rates decreased from 15% to 5.5%, and the length of hospital stay reduced from 15 to 10 days on average. Conclusion: The implementation of FICB in hip fracture patients significantly improves pain management, reduces opioid requirements, and enhances clinical outcomes. Wider adoption of FICB could lead to better patient care and reduced healthcare costs.

Keywords: Fascia Iliaca Block, Hip Fracture, Pain Management, Regional Anesthesia, Elderly Care

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