[Fascia iliaca block for femoral bone fractures in prehospital medicine].
OBJECTIVE
The aim of this study was to assess the feasibility and efficacy of fascia iliaca compartment bloc (FIB) in prehospital care performed by emergency physicians.


METHODS
Prospective observational study.


METHODS
Fifty-two patients victim of a femoral bone fracture were included consecutively. All FIB had been performed by emergency physicians trained to the technique. Lidocaine 1.5% with epinephrine has been used. Block efficacy was assessed by testing sensitive block in the anterior, lateral and medial part of the thigh. Pain levels were noted using a simplified numeric scale (SNS).


RESULTS
No complete was reported. Ninety-four percent of blocks were successful. SNS values significantly decrease 10 minutes after block performance.


CONCLUSIONS
Emergency medicine physicians trained to the technique can perform FIB with a high success rate.
Gozlan
C
C
Département d'anesthésie et de réanimation, CHU de Bicêtre, 78, rue du Général-Leclerc, 94275 Le-Kremlin-Bicêtre, France. charles.gozlan@bct.aphp.fr
Minville
V
V
Asehnoune
K
K
Raynal
P
P
Zetlaoui
P
P
Benhamou
D
D
D000368:Aged; D000779:Anesthetics, Local; D001794:Blood Pressure / Q000187:drug effects; D004632:Emergency Medical Services; D004837:Epinephrine; D005205:Fascia; D005240:Feasibility Studies; D005260:Female; D005264:Femoral Fractures / Q000628:therapy*; D006801:Humans; D007085:Ilium; D008012:Lidocaine; D008297:Male; D008875:Middle Aged; D009407:Nerve Block; D010147:Pain Measurement; D011446:Prospective Studies; D014662:Vasoconstrictor Agents
D000779:Anesthetics, Local; D014662:Vasoconstrictor Agents; D008012:Lidocaine; D004837:Epinephrine