Peripheral nerve blocks for hip fracture (JAMA insights)

Conclusion: Peripheral nerve blockade is a safe and effective pain management strategy for patients with hip fracture and can be performed by credentialed clinicians outside of the operating room

Liu YT, Tovar Hirashima E, Yadav K. Peripheral Nerve Blocks for Hip Fractures. JAMA. Published online March 24, 2025. doi:10.1001/jama.2025.0999

Peripheral nerve block for hip fractures
官網連結,也有精采的影像解說 (來自大林慈濟周樹榮醫師和蔡斗元醫師提供的影像)

20231121 大林慈濟POCUS Symposium:
左二為周樹榮醫師; 左四為Teresa Liu; 右一為蔡斗元醫師
20231121 大林慈濟POCUS Symposium: Teresa Liu

這篇來自JAMA insight的教育短文,
整理了針對hip fracture時可用來減緩疼痛的神經阻斷術,
精美的圖呈現了我們現在最常採用的兩種技術:
1. Femoral nerve block: below joint capsule
(eg. ITC, femoral shaft fracture & knee injury)

Patellar fracture的止痛也可以用femoral nerve block來達成喔

Patellar fracture – AP view
Patellar fracture – Lat view


2. Pericapsular nerve group block (PENG):
within joint capsule (eg. femoral neck fracture)


回顧資料

Peripheral Nerve Blocks for Hip Fractures

超音波輔助神經阻斷術

雙和急診超音波教學-Nerve Block LE (1)

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