Overall , moderate evidence suggests that nerve blockades are effective for relieving acute pain and reducing delirium .
Low-level evidence suggests that preoperative traction does not reduce acute pain .
Nerve blockade seems to be effective in reducing acute pain after hip fracture .
Sparse data preclude firm conclusions about the relative benefits or harms of many other pain management interventions for patients with hip fracture .
BACKGROUND  Pain management  is integral to the management of hip fracture .
PURPOSE To review the benefits and harms of pharmacologic and nonpharmacologic interventions for managing pain  after hip fracture .
Postoperative analgesia after triple nerve block for fractured neck of femur
Fifty patients with fractured neck of femur that required surgical correction with either a compression screw or pin and plate device were r and omly allocated to receive one of two anaesthetic techniques , general anaesthesia combined with either opioid supplementation or triple nerve block ( three in one block ) with subcostal nerve block . The nerve blocks significantly reduced the quantity of opioid administered after operation ; 48 % of these patients required no additional analgesia in the first 24 hours . Plasma prilocaine levels in these patients were well below the toxic threshold , and peak absorption occurred 20 minutes after the injection . No untoward sequelae were associated with the nerve blocks
Overall , moderate evidence suggests that nerve blockades are effective for relieving acute pain and reducing delirium .
Low-level evidence suggests that preoperative traction does not reduce acute pain .
Nerve blockade seems to be effective in reducing acute pain after hip fracture .
Sparse data preclude firm conclusions about the relative benefits or harms of many other pain management interventions for patients with hip fracture .
BACKGROUND  Pain management  is integral to the management of hip fracture .
PURPOSE To review the benefits and harms of pharmacologic and nonpharmacologic interventions for managing pain  after hip fracture .