149 Reducing Complications and Improving Outcomes Following Total Hip Arthroplasty

Abstract Aim Neck of femur (NOF) fractures are increasing, and the need to improve mobility reduce complications whilst improving discharge time is an ongoing challenge. Hip fracture fixation arthroplasty essential in pain mobility. NOF patients often undergo a fascia iliaca block (FIB) outcomes. Guay J’s Cochrane systematic review confirms that FIBs pre postoperatively, decrease hospital-acquired pneumonia risk Patients on anticoagulants typically refused bedside blocks, however we unsure if they truly impact adverse outcomes for patients. Method A retrospective observational study was undertaken assess complication rates 53 who had FIB at St Mary’s Hospital between 07/01/2020 26/06/2020. whose result inpatient fall were excluded. Pre-existing anticoagulant antiplatelet use noted, as A&E admission blood coagulation results. Local which may have arisen post-FIB closely screened documentation until patient’s date. Results There no local all Interestingly, one patient documented thigh haematoma pre-nerve block, but did not any evolution achieved good relief from block. Conclusions appear be safe effective analgesic tool perioperative has been reported early those hip treatment. We aim implement these findings increase rate nerve procedures fractures.