Effectiveness of modified femoral block in patients with a diagnosis of hip fracture

Abstract

Introduction: Evidence shows that inadequate control of preoperative pain has harmful physiological and psychological consequences in patients, and increases morbidity and mortality.Objective: To evaluate the efficacy of modified femoral block in patients with a diagnosis of hip fracture.Method: A quasi-experimental study was carried out at Manuel Ascunce Domenech University Hospital in Camagüey Province, from January 2016 to January 2018. The study population was made up of 639 emergency and elective surgical patients with the diagnosis of hip fracture of hip, through simple random sampling automatically with the Statistical Package for the Social Sciences (SPSS) Version 21 for Windows, acceptable error and 95% confidence level. The sample was made up of 295 patients.Results: Most of the patients operated on for hip fracture are above their fifth decade of life. Extracapsular fracture was diagnosed in 174 patients. Regarding pain evaluation through McGill’s Pain Questionnaire, terrible pain of 4 was perceived, with confidence interval (2.00912-6.23110) before block; and also analgesia of 1 after blockage, with confidence interval (0.73102-1.48209).Conclusions:The modified femoral block provided analgesia in all cases.Keywords: hip fracture; femoral block; analgesia; pain.