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2012, Number 11

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MediSan 2012; 16 (11)

Three-in-one block for analgesia in patients with hip fracture

González CR, Bustamante RY, Toranzo LR, Hernández MJ

Language: Spanish
References: 51
Page: 1698-1706
PDF size: 184.04 Kb.


ABSTRACT

A therapeutic intervention was conducted in 81 older adults with hip fracture, who underwent emergency operation in "Dr. Ambros io Grillo Portuondo" Teaching Clinical Surgical Hospital of Santiago de Cuba, fr om January 2008 to January 2009 in order to determine the effectiveness of the 3-in-1 block for pain relief in the preoperative period. Patients were randomly assigned to two tr eatment groups: study gr oup (n=39) in whom 3-in-1 block with 0.5 % bupivacaine was ad ministered, and control group (n=42), which was treated intramuscularly with metamizole (600 mg every 8 hours). Using a visual analogical scale pain was measured at the beginning of the treatment, after 30 and 60 minutes, and every 4 hours to complete 12. A prevalence of 60-79 (51.2%) age group and female sex (58.0%) was found, as well as a reduction of the di sease at rest with both therapeutic procedures. Also, adequate pain relief was achieved in those that received 3-in-1 block, of them only 5.1% required rescue analge sia, so that this technique was effective to achieve the desired effect.


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