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Post-It Pearls: Avoid Opioids With Hip Nerve Block : Emergency Medicine News

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American Academy of Orthopedic Surgeons, fascia iliac block, hip fracture, opioid, traction

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Why Learn Regional Fascia Iliaca Block for Hip Fractures? Many studies report decreased opioid requirements and fewer opioid-related complications such as respiratory depression, nausea, and delirium. Learning this is especially important because the American Academy of Orthopedic Surgeons no longer recommends routine preoperative traction for patients age 55 and older. (AAOS. Dec. 3, 2021; https://bit.ly/3aCfpF0.)

Patients may be more prone to fracture pain with minimal movement when the hip is immobilized less rigidly, so pain control becomes even more crucial.

Traction is no longer a common practice for elderly patients as it leads to complications – pressure ulcers, urinary tract infections, lung problems and constipation – while providing no additional benefit over a day in a splint. preoperative pillow position.

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Dr Linis the founder, CEO and editor of Academic Life in Emergency Medicine (https://www.ALiEM.com) and professor of emergency medicine at the University of California, San Francisco with interests in health professions education and digital scholarship. Follow her on Instagram@MichelleLinMDand on Twitter@M_Lin.