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Ultrasound-guided suprainguinal fascia iliaca compartment block and early postoperative analgesia after total hip arthroplasty. Response to Br J Anaesth 2024; 133: 1326-7 and 1328-9.
Br J Anaesth
January 2025
Department of Anesthesia, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, ON, Canada. Electronic address:
Ultrasound-Guided Suprainguinal Fascia Iliaca Compartment Block in Combination with Sciatic Nerve Block for Pain Reduction in Total Hip Arthroplasty: A Prospective Randomized Controlled Study.
Orthop Res Rev
November 2024
Department of Anesthesiology, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, People's Republic of China.
Article Synopsis
- The study investigates the effectiveness of a combination of suprainguinal fascia iliaca compartment block (SFICB) and sciatic nerve block (SNB) on pain relief in patients undergoing total hip arthroplasty (THA) compared to general anesthesia alone.
- Eighty-seven patients were divided into three groups to measure postoperative pain levels using a Numeric Rating Scale (NRS) and other outcomes like heart rate and opioid consumption.
- Results showed that the combined analgesic methods (SFICB and SNB) significantly reduced pain scores and opioid usage while also lowering inflammatory markers compared to general anesthesia alone, suggesting a better overall pain management approach.
Comparison of Analgesic Efficacy between Ultrasound-guided Supra-inguinal Fascia Iliaca Block and Pericapsular Nerve Group Block following Total Hip Arthroplasty: A Randomized Controlled Trial.
Hip Pelvis
December 2024
Department of Anesthesiology, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society and Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Article Synopsis
- The study aimed to compare the effectiveness of pericapsular nerve group (PENG) block and suprainguinal fascia iliaca block (SFIB) in reducing opioid use and pain after hip arthroplasty.
- Researchers conducted a double-blind, randomized trial with 60 patients, measuring the total intravenous fentanyl consumption in the first 24 hours post-surgery as the main outcome.
- Results showed no significant differences in opioid consumption or pain scores between the two groups, but the PENG group reported better sensory perception and muscle strength at 12 hours post-op.
Ultrasound-guided anterior iliopsoas muscle space block compared with fascia iliaca compartment block in elderly hip surgery: A randomized controlled trial.
Medicine (Baltimore)
November 2024
Department of Anesthesiology, Affiliated Hospital of Jiangsu University, Zhenjiang, Jiangsu Province, China.
Background: Elderly hip fracture patients experience severe pain. Surgical stress and pain during position changes for spinal anesthesia puncture can adversely affect hemodynamics. The objective of this study was to compare the perioperative analgesic efficacy of anterior iliopsoas muscle space block with supra-inguinal fascia iliaca compartment block (S-FICB) in elderly patients undergoing hip surgery.
View Article and Find Full Text PDFUltrasound-Guided Suprainguinal Fascia Iliaca Compartment Block in Patients Undergoing Hip Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Cureus
September 2024
Department of Anesthesiology, Singapore General Hospital, Singapore, SGP.
Article Synopsis
- The study focuses on comparing the effectiveness of suprainguinal fascia iliaca compartment block (s-FICB) vs. control in reducing opioid use and pain levels for patients undergoing hip surgery.
- Previous meta-analyses on fascia iliaca blocks showed inconsistent results due to variations in techniques used, prompting this systematic review.
- Using data from 11 randomized controlled trials, the researchers aim to assess opioid consumption and pain scores post-surgery while considering biases and the strength of the evidence.
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