TY  - JOUR
T1  - Ultrasound Guided Supra-Inguinal Fascia Iliaca Compartment Block Vs Femoral Nerve Block for Analgesia Management of Hip Fracture Patients in Emergency Department
TT  - Acil Serviste Kalça Kırığı Olan Hastalarda Analjezi Yönetimi İçin Ultrason Rehberliğinde Supra-İnguinal Fasiya İliyaka Kompartman Bloğu ve Femoral Sinir Bloğu Karşılaştırması
AU  - Çalışır, Feyza
AU  - Bilal, Bora
AU  - Yaman, Nazmi
AU  - Topak, Duran
AU  - Güler, Özlem
AU  - Çiftçi, Bahadır
PY  - 2025
DA  - September
Y2  - 2025
JF  - Journal of Cukurova Anesthesia and Surgical Sciences
JO  - J Cukurova Anesth Surg
PB  - Merthan TUNAY
WT  - DergiPark
SN  - 2667-498X
SP  - 290
EP  - 295
VL  - 8
IS  - 3
LA  - en
AB  - Introduction: Hip fractures cause severe pain, especially in elderly patients, making effective pain management crucial in the emergency setting. Regional anesthesia techniques are increasingly used to reduce opioid requirements and improve analgesia. However, the comparative efficacy of supra-inguinal fascia iliaca compartment block (SFIB) versus femoral nerve block (FB) remains unclear.Materials and Methods: This prospective, randomized study included patients aged 18 years or older with radiologically confirmed proximal hip fractures. Patients were randomized to receive either ultrasound-guided SFIB or FB. Pain intensity was measured using the Numeric Rating Scale (NRS) at baseline and at 20 minutes, 2, 4, 6, and 8 hours after the block. Opioid consumption, additional analgesic use, and adverse events were recorded.Results: A total of 48 patients were included (SFIB: 27, FB: 21). Baseline NRS scores were similar between the groups. The onset time of the block was shorter in the SFIB group (p
KW  - Hip fracture
KW  - nerve block
KW  - regional anesthesia
KW  - pain management
KW  - Emergency service
KW  - hospital.
N2  - Giriş: Kalça kırıkları, özellikle yaşlı hastalarda şiddetli ağrıya neden olur ve acil serviste etkin ağrı yönetimi büyük önem taşır. Opioid gereksinimini azaltmak ve analjeziyi artırmak amacıyla bölgesel anestezi tekniklerinin kullanımı giderek artmaktadır. Ancak, supra-inguinal fasiya iliaka kompartman bloğu (SİFİB) ile femoral sinir bloğunun (FSB) karşılaştırmalı etkinliği henüz netleşmemiştir.Gereç ve Yöntem: Bu prospektif, randomize çalışmaya, radyolojik olarak doğrulanmış proksimal kalça kırığı olan 18 yaş ve üzeri hastalar dahil edilmiştir. Hastalar, ultrason rehberliğinde SİFİB veya FSB uygulanmak üzere randomize edilmiştir. Ağrı şiddeti, sayısal değerlendirme skalası (NRS) ile başlangıçta ve blok sonrası 20. dakika, 2., 4., 6. ve 8. saatlerde ölçülmüştür. Opioid kullanımı, ek analjezik ihtiyacı ve advers olaylar kaydedilmiştir.Bulgular: Toplam 48 hasta (SİFİB: 27, FSB: 21) çalışmaya dahil edilmiştir. Grupların başlangıç NRS skorları benzer bulunmuştur. Blok başlangıç süresi SİFİB grubunda anlamlı şekilde daha kısaydı (p
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UR  - https://dergipark.org.tr/tr/pub/jocass/issue//1730505
L1  - https://dergipark.org.tr/tr/download/article-file/5005251
ER  -