ArticleCanadian geriatrics journal : CGJ2013
Survey of Current Practices: Peripheral Nerve Block Utilization by ED Physicians for Treatment of Pain in the Hip Fracture Patient Population.
Article in Canadian geriatrics journal : CGJ, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Peripheral nerve blocks for hip fractures in adults.The Cochrane database of systematic reviews · 2020Pooled it
- Peripheral nerve blocks for hip fractures.The Cochrane database of systematic reviews · 2017Pooled it
- Ultrasound-Guided Regional Anesthesia by Emergency Physicians for Hip Fractures and Delirium: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Trial
- Trial
- Fascia iliaca block in the emergency department for hip fracture: a randomized, controlled, double-blind trial.BMC geriatrics · 2019Trial
- A Community Hospital Implementation of a Mobile Preoperative Peripheral Nerve Block Service in Non-OR Environments for Hip Fracture Patients.A&A practice · 2026Article
- Article
- Regional anaesthesia in the emergency centre: Knowledge, attitudes and practices of doctors in the Western Cape, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Article
- Advancing pain management for extremity trauma: the evolution of ultrasound-guided nerve blocks for patients in the supine position in trauma centers.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- Using implementation science to promote the use of the fascia iliaca blocks in hip fracture care.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Article
- Ultrasound-Guided Fascia Iliaca Compartment Block Simulation Training in an Emergency Medicine Residency Program.Cureus · 2024Article
- General practice management of chronic post-surgical pain in patients with hip fracture: a qualitative study.Frontiers in medicine · 2023Article
- The impact of loco-regional anaesthesia on postoperative opioid use in elderly hip fracture patients: an observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- Optimization of transdisciplinary management of elderly with femur proximal extremity fracture: A patient-tailored plan from orthopaedics to rehabilitation.World journal of orthopedics · 2021Article
- Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures.Annals of rehabilitation medicine · 2021Article
- Nervous breakdown! A registry of nerve blocks from a South African emergency centre.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019Article
- [Research status of the enhanced recovery after surgery in the geriatric hip fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018Article
- A survey of emergency medicine and orthopaedic physicians' knowledge, attitude, and practice towards the use of peripheral nerve blocks.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2017Article
- Nursing care for the elderly with hip fracture in an acute care hospital.Wiener medizinische Wochenschrift (1946) · 2013Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2010-11 approximately 968 hip fracture patients presented to emergency departments in the Greater Toronto Local Health Integration Network (GTA-LHIN). Optimal pain management is a frequently overlooked aspect of hip fracture patient care, which may contribute to patient outcomes. Although recommendations have been published, there is currently not a standardized approach to the analgesic management of pain in the hip fracture patient. Nerve blocks, including the fascia iliaca compartment block (FICB), are more effective than traditional opioid analgesics in reducing pain after hip fracture. Research suggests that analgesia via nerve blockade is best initiated early, upon arrival to the emergency department. Emergency physicians are trained in ultrasound, and do utilize regional anaesthesia; however, the frequency of block utilization and techniques used for block insertion are unknown. We sought to undertake the first survey of Emergency Department (ED) staff and resident physicians across the GTA-LHIN, looking at the current ED practice of nerve block analgesia in hip fracture patients. PURPOSE: The primary aim was to determine the prevalence and range of techniques utilized. The secondary aims were to determine the extent of training in nerve block insertion techniques, to gauge opinion on the most important objectives for future training courses, and to seek an understanding of the barriers to establishing a standardized approach for nerve block utilization in hip fracture patients.
conclusionsThis data will be used to develop a multidisciplinary training program specifically for use by ED physicians. ED physicians and anesthesiologists will collaborate to standardize nerve block insertion techniques and develop an optimal analgesic management plan of hip fracture patients at Sunnybrook Hospital.
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