Management Of Geriatric Patients Research Articles

Effects of medication management in geriatric patients who have fallen: results of the EMMA mixed-methods study.

comprehensive medication management (CMM) can reduce medication-related risks of falling. However, knowledge about inter-individual treatment effects and patient-related barriers remains scarce. to gain in-depth insights into how geriatric patients who have fallen view their medication-related risks of falling and to identify effects and barriers of a CMM in preventing falls. complementary mixed-methods pre-post study, based on an embedded quasi-experimental model. geriatric fracture centre. qualitative, semi-structured interviews framed the CMM intervention, including a follow-up period of 12weeks. Interviews explored themes of falling, medication-related risks, post-discharge acceptability and sustainability of interventions using qualitative content analysis. Optimisation of pharmacotherapy was assessed via changes in the weighted and summated Medication Appropriateness Index (MAI) score, number of fall-risk-increasing drugs (FRID) and potentially inappropriate medications (PIM) according to the Fit fOR The Aged and PRISCUS lists using parametric testing. thirty community-dwelling patients aged ≥65years, taking ≥5 drugs and admitted after an injurious fall were recruited. The MAI was significantly reduced, but number of FRID and PIM remained largely unchanged. Many patients were open to medication reduction/discontinuation, but expressed fear when it came to their personal medication. Psychosocial issues and pain increased the number of indications. Safe alternatives for FRID were frequently not available. Psychosocial burden of living alone, fear, lack of supportive care and insomnia increased after discharge. as patients' individual attitudes towards trauma and medication were not predictable, an individual and longitudinal CMM is required. A standardised approach is not helpful in this population.

Chronic Wound Management in Geriatric Patients; A Case of Home Care Services

Objective: Chronic wounds are a major health problem in the geriatric population and often lead to reduced quality of life and increased healthcare costs. To evaluate the impact of chronic diseases and nutritional status on pressure ulcer development in individuals over 65 years of age enrolled in home care services. Methods: This study was conducted between 15.12.2022 - 15.01.2023 at Giresun Training and Research Hospital. Individuals registered to the Home Care Services (HCS) and aged 65 years and over were included. Sociodemographic characteristics, medical history, Nutritional Risk Screening (NRS-2002), Visual pain scale, Braden Pressure ulcus risk scale and a scale to analyze wound staging were applied. Results: The mean age of the 76 patients included in the study was 83.64±8.11 years. 80.3% of the patients were female, 86.8% needed medical care. 52.6% received HCS for neurologic, 36.8% for cardiovascular and 7.8% for respiratory diseases. When nutritional risk status was analyzed, 40.8% had a primary assessment as a result of the preliminary assessment. According to the main assessment result, 97.4% of the patients had nutritional risk. As a result of physical examination, wounds were detected in 16% of the patients. Considering the risk of pressure ulcus development, 6.8% of the patients were at high risk, 21.6% were at medium risk and 35.1% were at low risk. The mean Braden pressure scale score was 16.86±3.03. Only one of the participants described moderate pain. Conclusion: Effective management of chronic wounds in geriatric patients requires a comprehensive and multidisciplinary approach that addresses the underlying causes, promotes wound healing, and prevents complications.

Continuation of Geriatric Discharge Medication in Primary Care and its Association with Rehospitalizations - A Cohort Study.

Transition of care in geriatric patients is a complex and high risk process, particularly the continuation of discharge medication in primary care. We aimed to determine how general practitioners' management of geriatric patients' discharge medication is associated with rehospitalizations. A prospective monocentric cohort study was done in an acute geriatric inpatient clinic with six-months follow-up. Acutely hospitalized patients ≥ 70 years old with functional impairment and frailty currently taking medications were followed up after hospital discharge and continuation (n=27) or change (n=44) of discharge medication by the General Practitioner was determined. Outcomes were rehospitalizations, days spent at home and time until recurrent rehospitalizations. 71 patients (mean age 82 years, 46 women [65%]) were followed up for six months after hospital discharge. In a negative binomial regression model, the rehospitalization rate after three months was 3.8 times higher in participants whose discharge medication was changed (p = 0.023). The effect did not persist over six months. Patients who were continued on their discharge medication were rehospitalized significantly later and/or less often during the six months observation period, statistically measured by a recurrent events survival model (HR 0.267, p = 0.003). In conclusion, continuation of discharge medication after an acute hospitalization in a specialized geriatric clinic could prevent early rehospitalizations.

Comparing GIST outcomes between geriatric and non-geriatric patients: A population-based analysis.

e23513 Background: Gastrointestinal Stromal Tumors (GISTs) are the most common mesenchymal tumors of the GI tract, typically presenting as subepithelial neoplasms in the stomach with rarer occurrences in the small bowel, colorectum, & esophagus. Standard-of-care treatment includes surgical resection followed by Imatinib. It is unclear whether differences in patient outcomes exist across age groups. The Surveillance, Epidemiology, & End Results (SEER) program is an extensive cancer database which proves useful in analyzing cancer trends. This SEER analysis aims to investigate differences in GIST outcomes for patients aged > 70 versus ≤70 years. Methods: SEER*STAT version 8.4.0.1 was used to extract relevant gastrointestinal stromal sarcoma (ICD-O-3 8936/3) data for the years 2000-2019. Geriatric age was defined as > 70 years. Variables assessed include age, surgery, gender, cause-specific death, & overall survival. Statistical methods included univariate analysis using the KM survival estimate (95% confidence interval) for five-year survival and Log-Rank tests to observe statistical significance of the survival distribution. Multivariate Cox’s PH regression model was also used to estimate hazard ratio of death for geriatric patients adjusted for gender, stage, and surgery. Results: The number of patients included in this analysis within the study period was 13579, with an overall 5-year survival of 68.6% (95% CI: 67.7–69.5). Non-geriatric and geriatric patient data yielded 5-year survival rates of 77.4% (76.4%–78.3%) and 53.3% (51.7%–54.8%) respectively ( p< .0001). Cancer-specific death was 39.11% in 2000 and 3.33% in 2019. Male and female patients yielded 5-year survival rates of 73.0% (71.5%–74.4%) and 82.6% (81.2%–83.9%) in the younger group respectively ( p< .0001), while geriatric data yielded rates of 49.1% (46.8%–51.3%) and 57.3% (55.1%–59.4%) respectively ( p< .0001). With respect to no surgery and surgery, younger patient data yielded 5-year survival rates of 48.7% (45.8%–51.4%) and 83.7% (82.7%–84.7%) respectively ( p< .0001), while geriatric data yielded rates of 29.3% (26.5%–32.1%) and 62.8% (60.8%–64.6%) respectively ( p< .0001). Multivariate Cox PH regression model yielded an estimated hazard ratio of 2.56 (2.42–2.70) for geriatric patients ( p< .0001). Conclusions: Cancer-specific death has decreased since 2000, indicating an overall improvement in survival & treatment methods. Younger female patients had the highest 5-year survival rates, while older male patients yielded the lowest rates. We observed lower survival rates overall in the older group & a hazard ratio of 2.56 for geriatric patients. Surgery appeared to enhance survival rates in both the geriatric & non-geriatric groups, suggesting that surgery is an important factor in overall GIST survival regardless of age group. Large prospective studies will help define the appropriate management in geriatric patients.

Multidisciplinary Approach in the Management of Geriatric Patients with Accidental Aspirated and Swallowed Removable Partial Dentures: A Case Series

Multidisciplinary Approach in the Management of Geriatric Patients with Accidental Aspirated and Swallowed Removable Partial Dentures: A Case Series

Postoperative Delirium and Evidence-Based Nursing Management in Geriatric Patients

Postoperative Delirium and Evidence-Based Nursing Management in Geriatric Patients

AN AGE-FRIENDLY COURSE ADOPTING THE 4M GERIATRIC MODEL IN A PRIMARY CARE NURSE PRACTITIONER PROGRAM

Abstract Training nurse practitioners to assume an expanded role in management of geriatric patients is key to addressing the care needs of a growing older adult population. To that end, the Yale School of Nursing revised geriatric coursework required of family nurse practitioner (FNP) and adult geriatric nurse practitioners (AGNP) to ensure the curriculum was sufficiently in-depth, engaging, and inclusive. Revisions included a new course, “Advanced Primary Care of the Older Adult” which focuses on the role of the nurse practitioner in the assessment, diagnosis, and management of primary geriatric syndromes. The 4M model (Medications, Mentation, Mobility, and what Matters most) provided the framework. Additionally, faculty added expert speakers, interactive dementia animated videos, book and movie discussions and a geriatric telehealth simulation component. Content was guided by training needs data collected from prior nurse practitioner students. At the end of each course, students were surveyed to assess attitudes towards geriatric care and satisfaction with the course. We compared survey responses pre (academic year 2019–2020, Nf18, response rate=53%) and post (academic years 2020–2021 and 2021–2022, Nf28, response rate=44%) rollout. In multivariate regression analyses adjusted for differences in age, gender, race, program (AGNP and FNP) and previous geriatric experience, we found significant improvement in measures of both confidence in providing geriatric care and satisfaction with course content. Analysis of qualitative data confirmed student satisfaction with the new course. Future work will include expansion and more rigorous evaluation of the program, including measures of student knowledge of best practices and increasing survey participation rates.

Management of Geriatric Patients in Clinical Settings Comorbid with Psychiatric Disorders: A KAP Study

Background and Objectives: Comorbidity with psychiatric disorders raises health risks and has an impact on the condition, treatment and prognosis of elderly patients, necessitating holistic dental care for this age group. Thus, present study was conducted to assess knowledge, attitude, practice and awareness of psychiatric disorders and their relation to oral health amongst dental undergraduates, interns, postgraduate students and faculties treating geriatric patients.
 Materials and Methods: A cross -sectional questionnaire-based study was conducted among 300 dental students and faculties from various departments. The questionnaire was developed and subsequent face validation was obtained from dental students followed by content validation from a medical expert and four dental experts which was then utilized to assess knowledge, attitude and practice amongst dental health practitioners and students for managing geriatric patients comorbid with psychiatric disorders.
 Results: Of the total study participants, majority of faculties with clinical practice (86.0%]. had more knowledge regarding systemic disorders which can lead to psychiatric diseases in geriatric patients.66% of BDS interns and 40% of faculties evaluate the mental status of the geriatrics before commencing dental treatment. 64.9% of faculties and 56.4% interns believed in shared decision making for dentist patient relationship whereas remaining participants believed in dentist-based decision making which was found to be statistically significant (<0.001).
 Conclusion: More evidence and research in this field is increasingly important and required to improve evidence-based clinical practice and therapy for geriatric patients.

Bariatric surgery outcomes in geriatric patients: a contemporary, nationwide analysis.

This retrospective study sought to characterize the incidence of mortality in elderly patients following bariatric surgery and assessed the association of geriatric status with postoperative outcomes and resource use. Bariatric surgery is a safe and efficacious intervention for obesity and related diseases. The clinical and economic impact of geriatric status on bariatric surgery is largely unexplored. Academic, university-affiliated hospital; US. Adults (≥45 yr) undergoing elective laparoscopic gastric bypass or sleeve gastrectomy were identified in the 2016-2019 Nationwide Readmissions Database. Patients ≥65 years were categorized into the geriatric cohort. Multivariable linear and logistic models were developed to evaluate the independent association of geriatric status with outcomes of interest. Of an estimated number of 351,292 patients meeting inclusion criteria, 44,183 (12.6%) comprised the geriatric cohort. Of these patients, .3% died during the index hospitalization. Geriatric status was associated with significantly increased odds of in-hospital mortality (adjusted odds ratio [AOR] = 2.39, 95% confidence interval [CI]: 1.33-4.30), respiratory (AOR = 1.34, 95% CI: 1.13-1.59), infectious (AOR = 1.65, 95% CI: 1.25-2.17), and renal complications (AOR = 1.27, 95% CI: 1.12-1.46), and prolonged hospitalization (AOR = 1.35, 95% CI: 1.24-1.48). Elderly patients experienced a .19-day increment in the length of stay (95% CI: .11-.27) and $620 in attributable hospitalization costs (95% CI: 310-930). While overall rates of postoperative death and complications are low, geriatric patients experience significantly increased mortality, morbidity, and resource use following bariatric operations relative to younger adults. These findings may aid in shared decision-making for obesity management in geriatric patients.

Ведение пациентки старческого возраста с синдромом старческой астении в практике врача-гериатра. Клинический случай

The management of geriatric patients should be based on a comprehensive assessment of their needs realized through a comprehensive geriatric assessment, identification and correction of existing geriatric syndromes. However, the tactics of managing patients of older age groups may vary depending on the age category and the presence of senile asthenia syndrome. In the presented clinical case, the tests, scales and questionnaires that are most often used in conducting a comprehensive geriatric assessment are described, allowing to identify geriatric syndromes and assess their severity.

Ultrasound-Guided Femoral Nerve Block in Geriatric Patients with Hip Fracture in the Emergency Department.

Background and Objectives: Systemic analgesics, including opioids, are commonly used for acute pain control in traumatic hip fracture patients in the emergency department (ED). However, their use is associated with high rates of adverse reactions in the geriatric population. As such, the aim of this study was to investigate the impact of lidocaine-based single-shot ultrasound-guided femoral nerve block (USFNB) on the standard care for acute pain management in geriatric patients with traumatic hip fracture in the ED. Methods: This retrospective, single-center, observational study included adult patients aged ≥60 years presenting with acute traumatic hip fracture in the ED between 1 January 2017 and 31 December 2020. The primary outcome measure was the difference in the amount of opioid use, in terms of morphine milligram equivalents (MME), between lidocaine-based single-shot USFNB and standard care groups. The obtained data were evaluated through a time-to-event analysis (time to meaningful pain relief), a time course analysis, and a multivariable analysis. Results: Overall, 607 adult patients (USFNB group, 66; standard care group, 541) were included in the study. The patients in the USFNB group required 80% less MME than those in the standard care group (0.52 ± 1.47 vs. 2.57 ± 2.53, p < 0.001). The multivariable Cox proportional hazards regression models showed that patients who received USFNB achieved meaningful pain relief 2.37-fold faster (hazard ratio (HR) = 2.37, 95% confidence intervals (CI) = 1.73–3.24, p < 0.001). Conclusions: In geriatric patients with hip fractures, a lidocaine-based single-shot USFNB can significantly reduce opioid consumption and provide more rapid and effective pain reduction.

Chronic Pain Management in Geriatric Patients: Analysis of an Algology Clinic s Data

Chronic Pain Management in Geriatric Patients: Analysis of an Algology Clinic s Data

Anesthesia management in geriatric patients which were interventional bronchoscopy due to central airway obstruction; retrospective analysis

Aim: In the endobronchial treatment of tumors that cause obstruction in the tracheobronchial system; Applications such as cryo-recanalization and argon plasma coagulation (APC) are widely used. Patients presenting with central airway obstruction (CAO) require urgent intervention, sharing the airway with the bronchoscopist, severe shortness of breath in patients, and the presence of comorbid diseases make it difficult for anesthetists. This situation becomes more complicated due to pharmacokinetic and pharmacodynamic changes in geriatric patients. In this article, it is aimed to present the anesthesia method in geriatric patients who underwent interventional bronchoscopy due to central airway obstruction.&#x0D; Material and Method: The files of geriatric patients who underwent interventional procedures for central airway obstruction between January 2021 and September 2021 were reviewed retrospectively. The treatments applied to the patients and the applied anesthetic protocols were recorded.&#x0D; Results: Forty-five geriatric patients who underwent interventional procedures for CAO were identified. 74% of the patients were male. 95.6% of the patients were in the American Society of Anesthesiologists (ASA) III or ASA IV risk group, which we can refer to as the high risk group. It was observed that rapid and short-acting propofol and remifentanil were used in induction and maintenance of anesthesia, rocuronium was used as muscle relaxant, and sugammadex was used to eliminate the residual effect of the muscle relaxant.&#x0D; Conclusion: Airway management is very complex in severe life-threatening airway stenosis. This situation requires a more comprehensive preoperative evaluation, selection of appropriate short-acting anesthetics, and effective anesthetic monitoring, especially in geriatric patients. In addition, the anesthetist and bronchoscopist should be prepared and in constant communication against complications that may develop.

New paradigm shift in the times of pandemic: Effects and influence of covid-19 on prosthodontic practice

The coronavirus disease 2019 (COVID-19) pandemic has put the world in a panic situation. It has been evident that the geriatric population is more susceptible to get this infection, mainly due to advanced age and comorbidities and thus reduced immunity. In this ongoing crisis, individuals could-not visit a dental clinic, hence unattended dental needs and emergencies. The prosthodontic management in geriatric patients is essential for their well-being, as the partial or complete edentulism are very prevalent among them. However, a prosthodontist remains at high risk for exposure to the novel coronavirus through the aerosol-generation, possibly through the contaminated surfaces and the indirect contact with dental laboratories and the technicians through the impressions, dental stone casts, and the prosthetic appliances. It demands the implementation of the preventive measures, including performing emergency treatments only, rescheduling patients with suspected COVID, disinfecting surfaces and prosthodontic materials with biocidal substances, and using protective equipment such as the N95 masks, gowns, and face-shields.

Postoperative pain management in geriatric patients after cholecystectomy and studies of glycemia and cortisol levels.

The purpose of the study was to follow up the cortisol levels in relation to the postoperative pain intensity, its levels after treatment with opiate and non-opiate analgesics, and to monitor the relationship between the blood glucose and cortisol levels. Another goal was to optimize the postoperative analgesia of geriatric patients with the known combinations of analgesics. The cohort comprised 28 geriatric patients undergoing laparoscopic cholecystectomy. The patients were divided according to the intensity of postoperative pain into the groups with opiate and non-opiate analgesia. Furthermore, they were divided according to their physical condition (ASA classification) into two groups, ASA 2 and ASA 3. We evaluated three values ​​of blood glucose levels, on the day before surgery, on the operative and the first postoperative days and those of cortisol on the day of surgery. The patients had the blood glucose levels without significant deviation during the three days of measurements. The cortisol levels increased with the intensity of postoperative pain. High levels of cortisol were observed not only in the patients, who experienced acute pain after non-optimal postoperative analgesia, but also in those treated with strong opiates in the immediate postoperative period. The patients with mild pain intensity, treated with a combination of non-opiate analgesics, had the lowest values. The role of the patient's gender in both blood glucose and cortisol levels was not observed. The cortisol levels have not corresponded so much with the assessment of acute postoperative pain as with the stress that was evoked in the patient due to hospitalization and fear of surgery. It is crucial to eliminate as much as possible all the stressors that can affect the cortisol levels and thus the blood glucose levels (Fig. 6, Ref. 25).

Analysis of Medical Management in Geriatric Patients in the Hospital Emergency Department by Example of Selected Cities with County Status in Poland: A Retrospective Cohort Study.

The aim of this study was to analyse medical management in geriatric patients in the Hospital Emergency Departments in the Biała Podlaska County and Chełm County (Poland) between 2016 and 2018 in a group of patients ≥65 years of age. We analysed medical records of 829 patients transported to Hospital Emergency Departments by Medical Emergency Teams. The research was conducted in the period from June 2019 to March 2020. We analysed emergency medical procedure forms and medical records of patients transported to the hospitals. Cardiovascular diseases were diagnosed in 40% of patients. Mortality cases accounted for 3.1% of the 1200 interventions analysed. Ambulance dispatch resulted in the patient being transported to the Hospital Emergency Departments in more than 2/3 of cases. The concordance between the diagnoses made by the Medical Emergency Teams and those made at the Hospital Emergency Departments was confirmed for 78% patients admitted to the department (n = 647), whereas the concordance of classification at the group level was estimated at 71.7% (n = 594). Further in-patient treatment was initiated in some of the patients admitted to the department (n = 385). The mean time of hospital stay was 10.1 days. In conclusion, differences between the initial diagnosis made by the heads of the Medical Emergency Teams and the diagnosis made by the doctor on duty in the Hospital Emergency Departments depended on the chapter of diseases in the ICD-10 classification, but they were acceptable. The majority of the patients were transported to Hospital Emergency Departments. The most common groups of diseases that require Hospital Emergency Departments admission include cardiovascular diseases, injuries due to external causes, and respiratory diseases. A moderate percentage of patients were qualified for further specialist treatment in hospital departments.

Outcome of Elderly Patients With Surgically Treated Brain Metastases

ObjectIn the light of an aging population and ongoing advances in cancer control, the optimal management in geriatric patients with brain metastases (BM) poses an increasing challenge, especially due to the scarce data available. We therefore analyzed our institutional data with regard to factors influencing overall survival (OS) in geriatric patients with BM.MethodsBetween 2013 and 2018, patients aged ≥ 65 years with surgically treated BM were included in this retrospective analysis. In search of preoperatively identifiable risk factors for poor OS, in addition to the underlying cancer, the preoperative frailty of patients was analyzed using the modified Frailty Index (mFI).ResultsA total of 180 geriatric patients with surgically treated BM were identified. Geriatric patients categorized as least-frail achieved a median OS of 18 months, whereas frailest patients achieved an OS of only 3 months (p<0.0001). Multivariable cox regression analysis detected “multiple intracranial metastases” (p=0.001), “infratentorial localization” (p=0.011), “preoperative CRP >5 mg/l” (p=0.01) and “frailest patients (mFI ≥ 0.27)” (p=0.002) as predictors for reduced OS in older patients undergoing surgical treatment for BM.ConclusionsIn this retrospective series, pre-operative frailty was associated with poor survival in elderly patients with BM requiring surgery. Our analyses warrant thorough counselling and support of affected elderly patients and their families.

Management of the predementia stage of Alzheimer’s disease, complicated with hypoactive delirium

Alzheimer’s disease (AD) is the most common neurodegenerative disorder in elderly population leading to the development of dementia. The emergence of modern diagnostic approaches makes possible reveal AD at predementia stage and study new drugs with pathogenetic and neuroprotective properties before severe cognitive impairment (dementia) arises. We present a description of patient with amnestic type of mild cognitive impairment with subsequent follow-up for more than two years. AD presence in mentioned patient was confirmed by evaluation of specific clinical, laboratory and instrumental biomarkers. Therapy with akatinol memantine (one of the main antidementia drugs in AD) at dose 20 mg/day was accompanied by cognitive defect stabilization. After two years of therapy acute severe decompensation related to hypoactive delirium due to respiratory infection was observed, which was followed by marked cognitive status deterioration. Daily dose of akatinol memantine was increased to 30 mg with subsequent restoration of baseline cognitive status. Possible mechanisms of akatinol memantine action and its effects in management of geriatric patients with AD including role in delirium therapy are discussed.

Effect of Pharmacist Home Visits on Weight Control in Overweight Elderly Hypertensive African American Patients: Managing Your Blood Pressure (My Bp) Program

Objective:The objective was to investigate the effect of a home-based pharmacy intervention on body mass index (BMI) in a cohort of older hypertensive overweight African American (AA) patients.Design:A secondary analysis of data collected in a community-based intervention study.Setting:Community-based.Participants:AA patients, ≥ 65 years old, residing independently, with hypertension diagnosis and BMI ≥ 25.Interventions:During a 6month period, patients received 1) two in-home pharmacist-led consultations on weight management, 2) bi-weekly telephone counseling, and 3) health education strategies.Main Outcome Measures:BMIs at baseline and 6 months; stages of behavioral change in diet and exercise based on the Transtheoretical Model.Results:At baseline and 6-month follow-up, a total of 153 participants had BMI ≥ 25 and received a completed assessment of behavioral stages. Participants’ mean age was 74.2 years. A reduction of BMI from 31.7 (obese) at baseline to 29.8 (overweight) at 6-months (p=0.0008) was observed. For every stage of improvement in diet, there was a reduction of 1.24 points in BMI (p=0.008). For every stage of progress in exercise, there was a reduction of 0.77 points in BMI (p=0.013).Conclusion:Pharmacists-led in-home consultations coupled with telephone follow-ups and health education strategies may improve lifestyle and lower BMIs in this cohort. Further studies are needed to investigate these strategies on weight management in geriatric patients with chronic illnesses.

Fascia Iliaca Compartment Block for Perioperative Pain Management of Geriatric Patients with Hip Fractures: A Systematic Review of Randomized Controlled Trials.

Background With continuous increase of the aging population, the number of geriatric patients with fragility hip fractures is rising sharply, and timely surgery remains the mainstay of treatment. However, adequate and effective pain control is the precondition of satisfactory efficacy. This systematic review aimed to summarize the use of fascia iliaca compartment block (FICB) as an analgesic strategy for perioperative pain management in geriatric patients with hip fractures. Methods PubMed and Embase databases were searched for English published randomized controlled trials (RCTs) reporting application of FICB for pain control of the older adults with hip fractures between January 1st, 2000, and May 31st, 2020. The modified Jadad scale was used to evaluate quality of the RCTs included. Primary outcomes of the eligible RCTs were presented and discussed. Results A total of 27 RCTs with 2478 cases were included finally. The present outcomes suggested, after admission or in the emergency department (ED), FICB can provide patients with equal or even better pain relief compared with the conventional analgesia methods, which can also reduce additional analgesic consumptions. While, before positioning for spinal anesthesia (SA), FICB is able to offer superior pain control, facilitating SA performance, after surgery FICB can effectively alleviate pain with decreased use of additional analgesics, promoting earlier mobilization and preventing complications. Conclusions FICB is a safe, reliable, and easy-to-conduct technique, which is able to provide adequate pain relief during perioperative management of geriatric patients with hip fractures.