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Papers of the Week


2019 Sep 11


BMC Geriatr


19


1

Fascia iliaca compartment block as a preoperative analgesic in elderly patients with hip fractures – effects on cognition.

Authors

Wennberg Pär, Möller M, Herlitz J, Sarenmalm E K
BMC Geriatr. 2019 Sep 11; 19(1):252.
PMID: 31510918.

Abstract

Impaired cognition is a major risk factor for perioperative delirium. It is essential to provide good pain control in patients with hip fractures and especially important in patients with severely impaired cognitive status, as they receive less pain medication, have poorer mobility, poorer quality of life and higher mortality than patients with intact cognition. The purpose of this study was to examine the association between preoperative pain management with nerve blocks and cognitive status in patients with hip fractures during the perioperative period.