Effects of continuous fascia iliaca compartment blocks for postoperative analgesia in patients with hip fracture.

Background: Effective analgesia is essential for the postoperative care of orthopedic patients.

Objectives: To evaluate the efficacy of continuous fascia iliaca compartment block (FIB) as postoperative analgesia after hip fracture surgery, and to compare FIB with patient-controlled intravenous analgesia (PCIA) using fentanyl for 48 h postoperatively.

Methods: Patients with hip fractures who were scheduled for open reduction and internal fixation surgery using the antirotation proximal femoral nail technique were randomly assigned to the FIB or PCIA groups.

Pain and cognitive dysfunction are the risk factors of delirium in elderly hip fracture Chinese patients.

Aims: To observe the incidence of delirium in elderly hip fracture patients and search for the potential risk factors.

Methods: Patients over 60 years were included in this study. Gender, age, education level, fracture type, organic dysfunction, cognitive dysfunction, comorbidity, medication, time from admission to surgery, and pain intensity were collected and analyzed, together with laboratory assessments and surgery including surgery type, time in surgery and blood loss in surgery.