Authors (including presenting author) :
Lau MT(1), Hui TM(1), Wong OF(1), Ko S(1), Lo WLI(1), Khu KF(2), Choi SH(3), Tsui YN(3), Wong YS(4)
Affiliation :
(1)Accident and Emergency Department, North Lantau Hospital (2)Department of Anaesthesia, Princess Margaret Hospital (3)Department of Orthopaedics and Traumatology, Princess Margaret Hospital (4)Pharmacist-in-charge, Pharmacy, North Lantau Hospital
Keyword 1: :
Fascia iliaca block
Keyword 2: :
ultrasound-guided regional anaesthesia
Keyword 3: :
hip fracture
Keyword 4: :
Emergency Department
Keyword 5: :
quality improvement
Introduction :
Patients with hip fracture presenting at emergency department of North Lantau Hospital require transfer to a tertiary centre, and the repeated bed transfers involved are painful to the patients. Ultrasound-guided Fascia Iliaca Compartment Block (FICB) is a regional anaesthetic technique for effective, opioid-sparing analgesia.
Objectives :
To describe the development, implementation strategies, and initial clinical outcomes of a formal FICB program for adult hip fracture patients in the Accident and Emergency Department (AED) of North Lantau Hospital (NLTH).
Methodology :
A multidisciplinary group, consisting of anaesthetic expertise, developed a clinical guideline for FICB. Implementation featured pre-packed procedural kits, staff education, and a competency-based physician credentialing pathway. From 1 May to 31 December 2025, consecutive eligible patients received FICB before inter-hospital transfer. Pre-procedure, 30-minute post-procedure, and post-admission pain scores were analysed.
Result & Outcome :
Eleven patients received FICB. Pain scores showed a significant reduction (Friedman test, p < 0.001). Mean pain scores fell from 8.4 (SD 1.9) pre-procedure to 1.3 (SD 1.6) at 30-minute post-procedure (p=0.03) and 0.6 (SD 1.0) upon orthopaedic admission (p=0.03). No complications occurred.
