Abstract

GONZALEZ CASTILLA, Roberto; BUSTAMANTE RECOUSO, Yasmina; TORANZO LABRADA, Raúl  and  HERNANDEZ MENDEZ, Jorge. Three-in-one block for analgesia in patients with hip fracture. MEDISAN [online]. 2012, vol.16, n.11, pp.1698-1706. ISSN 1029-3019.

A therapeutic intervention was conducted in 81 older adults with hip fracture, who underwent emergency operation in "Dr. Ambrosio Grillo Portuondo" Teaching Clinical Surgical Hospital of Santiago de Cuba, from 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 treatment groups: study group (n=39) in whom 3-in-1 block with 0.5 % bupivacaine was administered, 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 disease 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 analgesia, so that this technique was effective to achieve the desired effect.

Keywords : older adult; analgesia; hip fracture; 3-in-1 block; metamizole; secondary health care.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )