Hip Fracture Pain Management
Anya Bielharz and Joe Ng (who is coordinating the taskforce from the ED end) set up an “outreach” service to insert Femoral Nerve Catheters in patients with radiologically proven NOF/hip fractures in ED pre-operatively. The service has been online since 1 June 2017. It is provided by the Regional Anaesthesia Team (consultant or fellow), strictly in-hours Mon-Fri 08:00-17:00. Outside these times the ED staff will administer Single Shot FN Blocks as previously.
The Catheters will be run with 0.2% Ropivacaine, continuous infusion only via CADD solis pumps. The pumps are connected in ED and follow the patients to the ward. Our APS will follow up the patients and titrate up/down accordingly. These catheters should be topped up and then removed immediately prior to the start of the surgical procedure in OT.