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Hip Fracture Perioperative Network (HipPeN)

RCEM Safety alert - Death after Fascia Iliaca block

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RCEM Safety alert - Death after Fascia Iliaca block

RCEM issues a safety alert concerning FIB. It was effective in providing analgesia, which removed protection against apnoea caused by pre-administered opioids.

The Coroner has issued a Regulation 28 report (Report to prevent other deaths):

"FIB removed painful stimulus; pre-administered opiates caused apnoea, this went unrecognised".

NRLS data reveals:

  • Poor or no documentation of procedure in ED
  • Poor or no post procedure observations in ED

An ED LocSSIP/guideline should include documentation of:

  • Site, side, dose and time of block
  • Frequency of post procedure observations - A minimum would be at 5, 10, 15, 30 mins post procedure