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Introduction Pain management for older patients with hip fractures is difficult. This research was conducted to determine the effect of ultrasound-guided fascia iliac compartment block use of different doses of nalbuphine in combination with ropivacaine on preoperative analgesia in older patients with hip fractures. Methods In this multicenter controlled trial, 280 elderly patients with hip fracture were randomly divided into four UGFICB groups, a ropivacaine group and three nalbuphine groups.
Source link: https://doi.org/10.1007/s40122-022-00397-7
Plantar heel pain in adults is the most common cause of plantar heel pain in adults, with the incidence estimated at 10% of the general population. Ultrasound imaging is widely used to determine the PF thickness, assess the safety of various drugs, and a roadmap therapeutic strategy in patients with PFS. The aim of this research was to systematically review the studies that had been previously published to determine the role of ultrasound in the assessment of PF in patients with PFS. The study was focused on the determination of PF in patients with PFS who underwent different treatments including B-mode, shear wave elastography, and color Doppler ultrasound. The studies have determined the PF in patients with PFS under various conditions using different ultrasound techniques. Twenty-six papers evaluated the effectiveness of various treatment regimens on PF in patients with PFS with different ultrasound methods. In 8 of the 26 papers, the ultrasound was used as both an assessment instrument of PF and a guide therapeutic technique in patients with PFS. The ultrasound was used in 18 studies as the only measurement device to determine the PF thickness and patient with PFS. The PF thickness and intrafascial changes between patients with PFS and healthy controls were compared in four studies. Conclusions The ultrasound can be used to determine the effect of various interventions on PF by measuring its thickness, echogenicity, and stiffness changes in patients with PFS.
Source link: https://doi.org/10.1007/s40477-022-00712-0
Intravenous morphine is usually administered by paralect, but opioids are less effective for dynamic pain and can cause severe side effects, including nausea, constipation, and respiratory depression. We want to determine whether safety, clinical, and cost-effectiveness of paramedic-provided FICB as pain relief to patients with suspected hip fracture in the prehospital setting in this subsequent research. FICB will be administered by two20 paramedics in five hospitals in England and Wales. Change in pain score from pre-randomisation to arrival at the emergency department is the most important result. Patients will be followed up by NHS Digital and the SAIL databank to monitor patient outcomes using anonymised linked data in an effective research methodology and questionnaires to collect patient-reported outcomes at 1 and 4 months. Discussion The trial will help determine whether or not medicated FICB is a safe, clinically, and cost-effective therapy for suspected hip fracture in the pre-hospital setting.
Source link: https://doi.org/10.1186/s13063-022-06522-3
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