EFFECTS OF PREOPERATIVE SUPRA-INGUINAL FASCIA ILIACA BLOCK APPLIED TO PATIENTS OVER 65 YEARS OLD WITH HIP FRACTURES

Introduction:A large number of patients are hospitalized each year due to hip fractures in the elderly population. Conventional pain management is difficult in this age group. Ineffective pain management and side effects of analgesics may increase morbidity and prolong the hospital stay. Ultrasoundguided Supra-inguinal fascia iliaca block(SFICB)are useful in these cases. Materials and Method: Patients aged 65 years and older who presented to the hospital emergency department due to hip fracture, were scheduled for arthroplasty surgery, were able to answer the survey questions, and were not undergoing surgery within the first 24 hours were included in the study. Group B included patients who underwent SFICB for analgesia and Group C included patients who received conventional intravenous dexketoprofen, paracetamol, tramadol. Results:In the block group, visual analog scale values at the 1st and 8th hours were statistically significantly lower. The values at the 16th and 24th hours were not significantly. All subscale scores of the 36-item short form quality of life scale except mental health, were found to be higher in the block group, and the differences were close to significance only for pain, role limitations due to physical health and general health. There were no differences between the groups in terms of State Trait Anxiety Inventory and 1- and 3-month mortality rates. Conclusion:Preoperative SFICB provided effective early pain management and improved certain areas of quality of life in patients hospitalized with hip fracture. This simple, superficial block can be safely performed by the physician who first sees the patient. Keywords: Hip Fractures; Aged; Nerve Block; Quality of Life; Test Anxiety Scales.