Nerve blocks for initial pain management of femoral fractures in children

Added June 4, 2014

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Low quality evidence from one small trial suggests that fascia iliaca compartment block (FICB) provides better and longer lasting pain relief with fewer adverse events than intravenous opioids for femur fractures in children. Well conducted and reported randomised trials that compare nerve blocks with systemic analgesia are required to confirm this result.

Fractures (breaks) of the thigh bone can be very painful. Often children arriving at hospital emergency departments are moved several times during their assessments and therefore prompt pain relief is essential. This review investigated whether a nerve block, involving the injection of a freezing/numbing medication (FICB) at the top of the thigh, would provide more effective pain relief than pain medicine given by mouth or into a vein (e.g. morphine).