title: [Fascia iliaca block for femoral bone fractures in prehospital medicine].
abstract: 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.
authors.affiliation: Département d'anesthésie et de réanimation, CHU de Bicêtre, 78, rue du Général-Leclerc, 94275 Le-Kremlin-Bicêtre, France. charles.gozlan@bct.aphp.fr
authors.forename: C
authors.initials: C
authors.lastname: Gozlan
authors.forename: V
authors.initials: V
authors.lastname: Minville
authors.forename: K
authors.initials: K
authors.lastname: Asehnoune
authors.forename: P
authors.initials: P
authors.lastname: Raynal
authors.forename: P
authors.initials: P
authors.lastname: Zetlaoui
authors.forename: D
authors.initials: D
authors.lastname: Benhamou
mesh_terms: 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
chemical_list: D000779:Anesthetics, Local; D014662:Vasoconstrictor Agents; D008012:Lidocaine; D004837:Epinephrine