University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository




Dr. Thomas Colletti, DHSc, MPAS, PA-C


Hip and proximal femur fractures are becoming increasingly common especially as our population ages. Patients that have suffered a hip or proximal femur fracture can expect to experience pain. Each patient's level of pain is unique but has historically been managed with opioids. There has been much attention paid lately to the opioid crisis and the need to reduce consumption. The majority of patients at risk for hip and proximal femur fracture are the elderly. With this population the need to prevent delirium is imperative. Delirium is this population will increase the length of stay and add to increased morbidity and mortality. The purpose of this review article is to show the benefits of utilizing iliaca fascia blocks at first presentation. Also that the iliaca fascia block can be performed by any number of stakeholders involved in the care of hip fracture patients.


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