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Femoral nerve block for fractured neck of femur 

Femoral nerve block for fractured neck of femur
Femoral nerve block for fractured neck of femur

Samy Sadek

, and Sam Thenabadu

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date: 26 January 2022

This chapter provides a discussion of the challenges facing the emergency physician dealing with an elderly patient presenting with a neck of femur fracture in ongoing pain. It describes an overview of the range of both pharmacological analgesics as well as regional anaesthesia options available, as well as a consideration of the use of ultrasound-guided or blind application of blocks.

It examines the evidence base for three key clinical questions: examining the role for intravenous paracetamol in the initial treatment of neck of femur fractures; a review of femoral blocks as an effective analgesia for both intra and extra capsular fractures; and a comparison of blind fascia illiaca blocks compared with femoral blocks.

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