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Fascia Iliaca Block

It is fairly common for people to fracture their hip in their later years. The aim of treatment is to ease pain and restore mobility as soon as possible, usually through surgery.

Fascia Iliaca Block (FIB) is an injection given near the hip for people with  fractured hip while waiting for surgery. It can ease pain for up to 12 hours, and can reduce the need for opiates.

The use of FIB can reduce adverse outcomes, reduce the risk of delirium, reduce length of stay and improve both the patient experience and staff satisfaction.

The Agency for Clinical Innovation, Pain Management and Aged Health Networks, and the St Vincent’s Health Network have produced a suite of resources to support the introduction of or increased use of Fascia Iliaca Block in NSW hospitals.

Resources

  • Guide - This document is a guide to ultrasound-guided FIB utilising an out-of-plane approach. It aims to: provide the tools and resources to enable the use of FIB as an analgesic option for patients with acute
    hip fracture and ensure patients with suspected or confirmed acute hip fracture are provided with safe and effective preoperative pain relief.
  • Toolkit - This implementation toolkit has been developed to support the successful implementation of FIB in NSW health facilities having the appropriate governance. This includes competency, training, staffing, equipment, patient volume, infrastructure and supervision in place.
  • Frequently asked questions - This leaflet gives patients and their carers information about the benefits and risks of FIB to help them make an informed decision about undergoing this procedure.
  • Pain Audit tool - This audit tool will assist sites to monitor the management of older people with hip fracture
  • Flowchart - This is a guide to help assess and treat elderly trauma pain.

We welcome your feedback on these resources.

Evaluation

This report provides an evaluation of the resources and approach. The results of the evaluation demonstrate good uptake and use of the toolkit and training in those facilities where there is sufficient governance and staffing to ensure safety.

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