Fascia iliaca compartment block

O'Reilly, N.; Desmet, Michélé; Kearns, Rachel

doi:10.1016/j.bjae.2019.03.001

Cited by 60 publications

(46 citation statements)

References 20 publications

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“…Indications for FICB include pre-, peri- and postoperative analgesia after fractured neck of the femur. Additional indications include hip and knee surgery, above-knee amputation, and application of plaster cast to femoral fracture in paediatric patients, although data to support these indications are limited [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Fascia Iliaca Compartment Block after Elective Total Hip Replacement: A Prospective, Randomized, Controlled Study

Gola

Białka

Owczarek

et al. 2021

IJERPH

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Objective: An assessment of the feasibility of fascia iliaca compartment block (FICB) combined with nonopioid analgesics and patient controlled analgesia (PCA), oxycodone, in the perioperative anaesthetic management for elective total hip replacement (THR). Design: A randomised, single-center, open-label study. Setting: A single hospital. The study was conducted from October 2018 to May 2019. Participants: In total, 109 patients were scheduled for elective total hip replacement. Interventions: Postoperative FICB with 0.375% ropivacaine in conjunction with nonopioid analgesics (paracetamol, metamizole, and pregabalin) and oxycodone as rescue analgesia. Measurements: Pain intensity was measured using the Numeric Pain Rating Scale (NRS) at rest and during rehabilitation, the total dose of postoperative oxycodone required, the occurrence of opioid-related adverse events, patient hospitalisation time, and level of satisfaction. Follow-up period: 48 h. Main Results: A total of 109 patients were randomised into two groups and, of these, 9 were subsequently excluded from the analysis (three conversions to general anaesthesia, two failures to perform FICB, four failures to use the PCA pump). Patients in the FICB group received standard intravenous analgesia with FICB, and those in the control group were managed with standard intravenous analgesia only. Pain level measured with NRS was significantly lower at rest and during rehabilitation in the FICB group. Oxycodone use in the first 48 h was significantly higher in the control group (p < 0.001); additionally, the time to the first dose of rescue analgesia was significantly shorter (p < 0.001). In the control group, there was a higher rate of side effects and a significantly longer hospitalisation time (p < 0.001). Similarly, higher satisfaction with the applied analgesic treatment was noted in the FICB group. Conclusions: FICB in elective THR treatments is an effective form of analgesia, which reduces the need for opioids, the number of complications, the length of hospitalisation, and which ensures a high level of patient satisfaction with the analgesic treatment used. Trial registration: ClinicalTrials.gov No. NCT04690647.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Fascia Iliaca Compartment Block after Elective Total Hip Replacement: A Prospective, Randomized, Controlled Study

Gola

Białka

Owczarek

et al. 2021

IJERPH

View full text Add to dashboard Cite

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“…Furthermore, patients with coagulopathy, peripheral neuropathy, or neurological conditions are among the related contraindications. Local anesthetic toxicity, block failure, hematoma and quadriceps weakness, peritoneal organ perforation, and bladder puncture are all complications to this procedure [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…If resistance develops, gently pull the needle and repeat the process after more aspiration [ 29 , 30 ]. After that, either an ultrasonic technique is utilized to establish a catheter for continuous infusion or a landmark technique is used to place a local anesthetic solution using a “single-shot” of typically 30–40 ml [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

A review of evidence-based clinical practice on fascia iliaca compartment block for lower limb injury

Tarekegn

Sisay

2021

Annals of Medicine &Amp; Surgery

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Background The main objective of this study was to resolve fascia iliaca compartment block controversies by putting the currently available evidences applied for knee, femoral shaft, and hip bone injury or related to surgery. Methods The databases PubMed, Cochrane Review, and Google Scholar were searched without regard to language or publication type for fascia iliaca compartment block before December 2020. After eligibility sorting and duplicate removal, a total of 26,609 articles were identified, with 21 of them being included for review. Discussion In the emergency department, fascia iliaca compartment block (FICB) has now become the standard of practice. Various evidence suggested that 20–40 ml of local anesthetic was required for an effective block in adult patients. Conclusion For the knee, femoral bone, and hip region surgery, the fascia iliaca compartment block (FICB) provided better anesthesia quality, reduced systemic morphine consumption, and had fewer complications than epidural anesthesia. Anesthetists and surgical department staff should promote the FICB's benefits by emphasizing its superiority in pain management.

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“…FICB was first described in 1989 and was performed initially on children and later on adults. It was mainly used to provide analgesia following surgical procedures in the hip, femur and knee, treatment of burns on the thigh and in prehospital treatment of fracture femur [16,17]. FICB is extremely effective in blocking the femoral nerve and lateral femoral cutaneous nerve [18].…”

Section: Discussionmentioning

confidence: 99%

Comparison of USG-guided or landmark approach fascia iliaca compartment block for positioning in elderly hip fracture patients with spinal anesthesia: a randomized controlled observational study

ERTÜRK¹

2021

Turk J Med Sci

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Background/aim: Currently, the elderly population in the world is rapidly increasing due to technological developments and convenient access to health services. Due to comorbidities in elderly patients, hip fractures are frequently observed after exposure to environmental trauma. To reduce pain during positioning in spinal anesthesia, fascia iliaca compartment block (FICB) can be applied easily and reliably.In our study, we aimed to compare the analgesic effects and duration of fascia iliaca compartment blocks performed with USG guidance or the landmark approach methods for relieving spinal anesthesia position pain. Materials and methods:Our study included 100 patients undergoing operations due to hip fracture and administered spinal anesthesia after FICB. The group with USG-guided FICB (USG) had the blockage needle advanced to the compartment under the fascia iliaca, and 15 mL bupivacaine + 10 mL 2% lidocaine was administered. They were placed in sitting position for spinal anesthesia 20 min later and procedure duration and numerical rating scale (NRS) scores were recorded. In the group with landmark approach FICB (LAND), the spina iliaca anterior superior (SIAS) and pubic tubercle were connected with a line. The same amount of local anesthetic was administered to the external 1/3 portion of this line with the double pop technique. Procedure duration and NRS scores were recorded.Results: There was no statistically significant difference between the two groups in terms of NRS scores (p: 0.073). There was a statistically significant difference in duration of FICB administration between the two groups (p < 0.001). Conclusion:Both USG-guided and landmark approach FICB methods provide adequate and similar analgesia for positioning in spinal anesthesia. However, in cases where there is no problem with access to the ultrasound device or time, safer blockage can be provided by imaging neurovascular structures with ultrasound.

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Fascia iliaca compartment block

Abstract: Describe and identify the pertinent anatomy for performing FICB. Explain the anatomical and ultrasound guided approaches to the FICB. Discuss which patient groups would potentially benefit from a FICB. Define the safe performance of a FICB and the recommended requirements for monitoring.

Cited by 60 publications

References 20 publications

Effectiveness of Fascia Iliaca Compartment Block after Elective Total Hip Replacement: A Prospective, Randomized, Controlled Study

Effectiveness of Fascia Iliaca Compartment Block after Elective Total Hip Replacement: A Prospective, Randomized, Controlled Study

A review of evidence-based clinical practice on fascia iliaca compartment block for lower limb injury

Comparison of USG-guided or landmark approach fascia iliaca compartment block for positioning in elderly hip fracture patients with spinal anesthesia: a randomized controlled observational study

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