کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8570016 1563911 2018 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Can we reduce morphine use in elderly, proximal femoral fracture patients using a fascia iliac block?
ترجمه فارسی عنوان
آیا می توانیم مصرف مورفین را در افراد مسن، بیماران مبتلا به شکستگی فک پایین فمور، با استفاده از یک بلوک آریایی فاسیا کاهش دهیم؟
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب سالمندان و علم پیری شناسی
چکیده انگلیسی
Proximal femoral fractures are becoming increasingly common with an ageing population. Many patients have multiple comorbidities increasing their risk of opiate complications. 40 consecutive patients presenting with a proximal femoral fracture to a trauma centre in the UK were given either a Fascia Iliaca Block (FIB) with oral analgesia or just oral analgesia to control their pre-operative pain. Numeric pain scores and morphine consumption were used as outcome measures. Patients receiving a FIB had significant reduction in their pain scores compared to patients only receiving oral pain relief. There was also a significant reduction in both the actual oral morphine taken and the renal calculated level of morphine products in the group receiving the FIB. Patients undergoing a FIB required almost 50 mg less oral morphine pre-operatively. Nerve blocks should be used routinely to help pre-operative pain in proximal femoral fracture patients and to reduce the amount of morphine products prescribed. This prevents potential opiate complications in a highly susceptible cohort of patients often suffering with impaired renal function as a co-morbidity.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Geriatric Nursing - Volume 39, Issue 1, January–February 2018, Pages 84-87
نویسندگان
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