Comparison of femoral nerve block and fascia iliaca block for analgesia following reconstructive knee surgery in adolescents

Farid, Ibrahim; Heiner, Elizabeth J.; Fleissner, Paul R.

doi:10.1016/j.jclinane.2009.08.006

Cited by 29 publications

(20 citation statements)

References 9 publications

(11 reference statements)

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“…Research completed by Bushnell et al (2010) showed improved reported VAS with patients who had an FNB along with an intra-articular block versus patients who had solely an FNB. Farid et al (2010) found that the VAS pain scores did not differ significantly between patients who received an FNB or a fascia iliaca block. However, these findings were not compared to pain management outcomes without the use of blocks.…”

Section: Pain Management After Acl Surgical Repairmentioning

confidence: 82%

“…This is contrary to the findings of Frost et al (2000) who found no difference in oral pain medication consumption in patient who received either an FNB or a placebo block. The pediatric analysis by Farid et al (2010) found no significant difference in the morphine use of patients who received either an FNB or a fascia iliaca block. Edkin et al (1995) measured the opioid-sparing effects of ketorolac on patients who received an FNB; those patients who received ketorolac in addition to the FNB required less intravenous narcotics.…”

Section: Pain Management After Acl Surgical Repairmentioning

confidence: 93%

“…Outcome measurements included Visual Analogue Scales (VAS), the McGill Pain Questionnaire; the dose of opioids administered or consumed postoperatively, postoperative pain medication selection, patient satisfaction interviews, analgesic duration, and effects on discharge (Alford & Fadale 2003;Bushnell, Sakryd, & Noonan 2010;Choi, McCartney, & van der Vyver 2010;Edkin, McCarty, Spindler, & Flanagan 1999;Edkin et al 1995;Farid, Jeiner, & Fleissner 2010;Frost et al 2000;Iskandar, Benard, Ruel-Raymond, Cochard, & Manaud 2003;Mall & Wright 2010;Mayr, Entholzner, Hube, Hein, & Weig 2007;Mulroy, Larkin, Batra, Hodgson, & Owens 2001). The articles primarily focused on the immediate 24 hour postoperative period as well as post-operative day (POD) one through three.…”

Section: Pain Management After Acl Surgical Repairmentioning

confidence: 99%

“…In the only pediatric study, Farid et al (2010) conducted a randomized, single blinded trial to compare FNB with fascia iliaca block for postoperative analgesia in children ages 8 to 16 years undergoing ACL reconstruction. Patients received either FNB or fascia iliaca block during the surgery and PCA morphine postoperatively for pain management.…”

Section: Pain Management After Acl Surgical Repairmentioning

confidence: 99%

See 3 more Smart Citations

Review of Outcomes in Pediatric Patients Undergoing Anterior Cruciate Ligament Repairs With Regional Nerve Blocks

Micalizzi

Williams

Pignataro

et al. 2014

Journal of Pediatric Nursing

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Section: Pain Management After Acl Surgical Repairmentioning

confidence: 82%

Section: Pain Management After Acl Surgical Repairmentioning

confidence: 93%

Section: Pain Management After Acl Surgical Repairmentioning

confidence: 99%

Section: Pain Management After Acl Surgical Repairmentioning

confidence: 99%

See 2 more Smart Citations

Review of Outcomes in Pediatric Patients Undergoing Anterior Cruciate Ligament Repairs With Regional Nerve Blocks

Micalizzi

Williams

Pignataro

et al. 2014

Journal of Pediatric Nursing

View full text Add to dashboard Cite

“…knee ligament reconstruction or femur surgery) [14,15], but also in children [5,[10][11][12][13]16].…”

Section: Discussionmentioning

confidence: 99%

A Randomized and Observer Blinded Comparison of Continuous Femoral Block and Fascia Iliaca Compartment Block in Hip Replacement Surgery

2012

J Anesthe Clinic Res

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IntroductionPain after hip replacement surgery may potentially hinder postoperative physiotherapy and early mobilisation. Regional anesthesia of the lower limb appears to be effective for postoperative pain control [1] in this setting and it has been shown that the lumbar plexus blockade provides high-quality analgesia [2], as the femoral nerve supplies the anterior hip joint capsule, as well as the proximal femur, the quadriceps, iliacus and pectineus muscles.The most common approach is the femoral perivascular technique with a peripheral nerve stimulator [3]. Several studies have demonstrated that this approach does not achieve a reliable block of all three nerves (femoral nerve, obturator nerve, lateral femoral cutaneous (LFC) nerve) [2]. The femoral (FEM) block fails mostly in areas supplied by the LFC and the obturator nerve. Capdevila and Seeberger have seen a sufficient anesthesia of the LFC by using the femoral block in only 62% [2] respectively 44% [4]. But the LFC nerve may at least in part be responsible for pain in the incisional area of hip surgery.An alternative approach to the FEM block is the fascia iliaca compartment (FIC) block. Anesthesia of the LFC is achieved in 90% by using the FIC block [5]. The puncture site is further from the femoral nerve, laterally, and two are perceived when piercing the facia. Local anesthetic does not only reach the LFC nerve, but also the femoral nerve because the needle tip and the femoral nerve are located in the same compartiment (Figure1). Therefore, the FIC block could provide effective analgesia after hip surgery as an alternative to FEM-block.No prospective trial has been reported yet comparing the two approaches in hip surgery in regard to procedural technique differences, analgesia and functional outcome.The goal of the study was to verify the assumption that the FIC block is less time-consuming to perform but provides equally effective analgesia compared to the FEM block, even with an ad hoc implementation in the clinical routine, as performing the fascia iliaca compartment block was a new procedure in our department and experience with it was barely existent compared to the perivascular FEM block. AbstractBackground: Techniques, analgesic effects and functional outcome of continuous femoral nerve and fascia iliaca compartment blocks were compared in patients undergoing hip replacement surgery.

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Pediatric regional anesthesia: A review of the relevance of surface anatomy and landmarks used for peripheral nerve blockades in infants and children

Byun

Pather

2019

Clinical Anatomy

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In regional anesthesia, accurate knowledge of surface anatomy and landmarks are essential for successful nerve blockades with least possible complications. The longestablished anatomical landmarks used for peripheral nerve blockades in adult patients have also gained a place in pediatric anesthesia. Despite the continuing benefits and need for more effective peripheral techniques in pediatrics, there is a paucity of data on pediatric landmarks, and hence the absence of more appropriate techniques for the different age groups of children. Recent advancement in imaging has shown that there is a greater awareness for the different surface projections at various stages of postnatal development, as compared with that of adults. Thus, if adult landmarks are not appropriately adapted for use in children, complication rates may rise due to injuries to anatomical structures. This review evaluated the existing evidence of the pediatric nerve block landmarks in the reported literature, in order to highlight the limitations in our current understanding of pediatric surface anatomy and landmarks. A literature search was done using five databases to obtain 141 references. Only a few of these studies provided detailed reports of the relations of relevant nerves to anatomical landmarks. A few clinical imaging studies have provided new anatomical landmarks in children with reference to their age-related growth and anatomy. Most landmarks need to be standardized in children of various ages, and furthermore, inconsistencies in the current descriptions of the surface landmarks need to be validated and standardized for use in pediatric clinical practice. Clin. Anat. 32:803-823, 2019.

show abstract

Comparison of femoral nerve block and fascia iliaca block for analgesia following reconstructive knee surgery in adolescents

Cited by 29 publications

References 9 publications

Review of Outcomes in Pediatric Patients Undergoing Anterior Cruciate Ligament Repairs With Regional Nerve Blocks

Review of Outcomes in Pediatric Patients Undergoing Anterior Cruciate Ligament Repairs With Regional Nerve Blocks

A Randomized and Observer Blinded Comparison of Continuous Femoral Block and Fascia Iliaca Compartment Block in Hip Replacement Surgery

Pediatric regional anesthesia: A review of the relevance of surface anatomy and landmarks used for peripheral nerve blockades in infants and children

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