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ACEP Now: Vol 37 – No 01 – January 2018

Figure 5. A: Suprainguinal approach (lateral to medial). B: Unlabeled infiltration view. C: Labeled infiltration view.

Summary

A multimodal pain management approach that incorporates USGFICB for patients with acute femoral neck fractures has been demonstrated to reduce the reliance on opioids.¹⁶ Specifically in the elderly patient, this bedside intervention can reduce unwanted side effects commonly seen with opioids while offering significant pain control. USGFICB may be an ideal option for sonographers who are less comfortable performing USGFNB.

Dr. LaJeunesse is a captain in the U.S. Army Medical Corps and a second year EM resident at Madigan Army Medical Center (MAMC) in Tacoma, Washington. Mr. Cronin is a major in the U.S. Army Medical Specialist Corps and program director and assistant professor of the U.S. Army-Baylor University emergency medicine PA residency at MAMC. Dr. Takahashi is a captain in the U.S. Army Medical Corps, a family medicine physician, and an emergency ultrasound fellow at MAMC. Mr. Knudsen is a captain in the U.S. Army Medical Specialist Corps and an emergency medicine resident and doctoral candidate at MAMC. Dr. Nagdev is director of emergency ultrasound at Highland Hospital, Alameda Health System, in Oakland, California.

References

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