Efficacy of Prehospital Analgesia with Fascia Iliaca Compartment Block for Femoral Bone Fractures: A Systematic Review

Hards, Marcus; Brewer, Andrew; Bessant, Gareth; Lahiri, Sumitra

doi:10.1017/s1049023x18000365

Cited by 36 publications

(32 citation statements)

References 36 publications

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“…Although the studies on FNB are few and small, there are more data on FICB in the pre‐hospital setting as outlined in a recent review 10 . The target in FICB is more lateral to the neurovascular bundle than in FNB and performing the block does not require special equipment, which may contribute to its popularity in the pre‐hospital setting.…”

Section: Discussionmentioning

confidence: 99%

“…A recently published systematic review on fascia iliaca compartment blocks (FICBs) concluded that this technique is suitable for pre‐hospital management of pain from femoral fractures. Only minor side effects were reported and FICB can be administered by providers with varying backgrounds 10 . The FNB maybe a more familiar technique than FICB for most anaesthesiologists, but to our knowledge no systematic review has been published on the use of FNB in the pre‐hospital setting.…”

Section: Introductionmentioning

confidence: 99%

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Femoral nerve blocks for the treatment of acute pre‐hospital pain: A systematic review with meta‐analysis

Raatiniemi

Magnússon

Hyldmo

et al. 2020

Acta Anaesthesiol Scand

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Background: Pain management is one of the most important interventions in the emergency medical services. The femoral nerve block (FNB) is, among other things, indicated for pre-and post-operative pain management for patients with femoral fractures but its role in the pre-hospital setting has not been determined. The aim of this review was to assess the effect and safety of the FNB in comparison to other forms of analgesia (or no treatment) for managing acute lower extremity pain in adult patients in the pre-hospital setting. Methods: A systematic review (PROSPERO registration (CRD42018114399)) was conducted. The Cochrane and GRADE methods were used to assess outcomes. Two authors independently reviewed each study for eligibility, extracted the data and performed risk of bias assessments. Results: Four studies with a total of 252 patients were included. Two RCTs (114 patients) showed that FNB may reduce pain more effectively than metamizole (mean difference 32 mm on a 100 mm VAS (95% CI 24 to 40)). One RCT (48 patients) compared the FNB with lidocaine and magnesium sulphate to FNB with lidocaine alone | 1039 RAATINIEMI ET Al.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Femoral nerve blocks for the treatment of acute pre‐hospital pain: A systematic review with meta‐analysis

Raatiniemi

Magnússon

Hyldmo

et al. 2020

Acta Anaesthesiol Scand

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“…Fascia iliaca compartment block is used to block these nerves to meet the needs of lower limb analgesia and anesthesia. It is used for anesthesia and analgesia of the hip, knee and thigh[15,16]. Ultrasound-guided fascia iliaca compartment block can be divided into parallel puncture of the inguinal ligament, and improved vertical puncture of the inguinal ligament.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided fascia iliaca compartment block combined with general anesthesia for amputation in an acute myocardial infarction patient after percutaneous coronary intervention: A case report

Chen¹,

Liu²,

Li³

et al. 2019

WJCC

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BACKGROUNDFascia iliaca compartment block is a technique that blocks three nerves, similar to a 3-in-1 nerve block. This block provides analgesia for patients undergoing lower limb surgery, and is a simple technique that is easy to implement. Here, we report a case of fascia iliaca compartment block in a patient with myocardial infarction who underwent emergency middle thigh amputation.CASE SUMMARYA 78-year-old female patient weighing 38 kg with gangrene and occlusive peripheral atherosclerosis of the right leg underwent an emergency middle thigh amputation. The patient had a history of hypertension, coronary heart disease, cerebral infarction, anterior wall myocardial infarction, and had recently undergone percutaneous coronary intervention consisting of coronary angiography and right coronary artery stent implantation. Considering the patient's condition, an ultrasound-guided fascia iliaca compartment block combined with general anesthesia was implemented for amputation. The fascia iliaca compartment block provided analgesia for the operation, and reduced the dosage of general anesthetics. It also alleviated adverse cardiovascular effects caused by pain stress, and ensured the safety of the patient during the perioperative period. This block also provided postoperative analgesia. The patient had a good prognosis, and was subsequently discharged from hospital.CONCLUSIONFascia iliaca compartment block provides surgical analgesia. It also alleviates adverse cardiovascular effects, and ensures patient safety during the perioperative period.

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“…16 Evans, et al 2 reported prehospital administration of FICB for patients with suspected fractures at the scene of trauma, using the landmark technique with good results. Hards, et al 17 in their systematic review concluded that FICB is appropriate technique for prehospital pain management, with a high success rate and few adverse effects. It was concluded that it is easily learned and effective procedure for preoperative pain.…”

Section: Dexmedetomidinementioning

confidence: 99%

Efficacy of adding Dexmedetomidine in Fascia Iliaca Compartment Block to provide analgesia for positioning femur fracture patients before spinal anesthesia

Amin

Abdalla

Soltan

2020

Al-Azhar International Medical Journal

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Efficacy of Prehospital Analgesia with Fascia Iliaca Compartment Block for Femoral Bone Fractures: A Systematic Review

Cited by 36 publications

References 36 publications

Femoral nerve blocks for the treatment of acute pre‐hospital pain: A systematic review with meta‐analysis

Femoral nerve blocks for the treatment of acute pre‐hospital pain: A systematic review with meta‐analysis

Ultrasound-guided fascia iliaca compartment block combined with general anesthesia for amputation in an acute myocardial infarction patient after percutaneous coronary intervention: A case report

Efficacy of adding Dexmedetomidine in Fascia Iliaca Compartment Block to provide analgesia for positioning femur fracture patients before spinal anesthesia

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