Fascia iliaca compartment block (FICB) as pain treatment in older persons with suspected hip fractures in prehospital emergency care – A comparative pilot study

Wennberg, Pär; Hörnfeldt, Thea Hillberg; Stål, Susanna; Herlitz, Johan; Björås, Joakim; Larsson, Glenn

doi:10.1016/j.ienj.2021.101012

Cited by 6 publications

(3 citation statements)

References 43 publications

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“…Previous research suggested that parentral analgesics could reduce resting pain for the patient, but this analgesic effect with movement is limited. 17 Patients who got FICB had considerably less pain with mobility at all times following surgery in Yamamoto's study which compared intravenous acetaminophen and FICB after hip surgery 18 . They only used.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Continous Fascia iliaca block in Hip surgery in eldelrey : a randomized controlled clinical trial.

Daniel,

Zakhary,

Elkomos

2023

Ain Shams Medical Journal

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Background: Worldwide, there is a rise in the number of older individuals having surgery for hip fractures, which is linked to high morbidity and mortality rates. By encouraging early ambulation, post-operative pain management plays a crucial part in reducing expected complications. Opioid and nonsteroidal medications used for systemic analgesia have the potential to have serious side effects, especially in elderly individuals. The use of continuous fascia iliaca compartment block (CFICB) in analgesia during surgical treatment for hip fractures is growing as a result of the benefits of fascia iliaca compartment block.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Continous Fascia iliaca block in Hip surgery in eldelrey : a randomized controlled clinical trial.

Daniel,

Zakhary,

Elkomos

2023

Ain Shams Medical Journal

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“…Previous studies suggested that intravenous opioids could relieve pain at rest, but pain relief during movement is limited. 11 , 15 In Norio Yamamoto’s study comparing intravenous acetaminophen and FICB after hip fracture operation, patients who received FICB experienced significantly less pain with movement at seventh day after surgery. 16 However, they did not assess VAS scores after 1 week post-surgery.…”

Section: Discussionmentioning

confidence: 99%

“…26 If a relatively significant analgesic effect can be confirmed, FICB may be used more in the future. A retrospective study by Wennberg 15 compared the analgesic effects of intravenous opioids and FICB on patients with suspected hip fracture during the pre-hospital emergency care. The results of the study revealed that FICB has a more significant effect in relieving pain, and reduces occurrence of adverse events.…”

Section: Discussionmentioning

confidence: 99%

Effects of Perioperative Fascia Iliaca Compartment Block on Postoperative Pain and Hip Function in Elderly Patients With Hip Fracture

Hao

Cao

et al. 2022

Geriatr Orthop Surg Rehabil

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Purpose Pain management is a challenging issue in elderly patients with hip fracture. Despite the accepted clinical outcomes following hip surgery, pain and prolonged recovery time are the most difficult consequences associated with the rehabilitation process. The purpose of this study was to evaluate pain relief and functional improvement associated with the Fascia Iliaca Compartment Block (FICB) during the perioperative period of elderly patients with hip fracture. Patients and methods This study included 120 elderly patients with hip fracture, who were admitted to our institution between January 2019 and December 2020. The participants were subsequently randomly divided into the routine analgesia (RA) and fascia iliaca compartment block (FICB) groups. Inter-group differences were compared via VAS scores at rest and during movement, Harris hip scores (HHS), presence of complications, adverse events after surgery, and length of hospital stay. Results The FICB group VAS scores at rest at 6 hour, 1 and 3 days, and 1 week after surgery were significantly lower than the RA group ( P < .05). Moreover, the FICB group VAS scores with movement were markedly lower at 6 hour, 1 and 3 days, as well as 1 and 2 weeks after surgery ( P < .05). The HHS of the FICB and RA groups were (53.41±8.63) and (40.02±9.61), respectively, on the seventh day after surgery, and the difference was statistically significant ( P < .05). The incidence of postoperative complications and adverse events in the FICB group were not statistically different from the RA group. The average hospital stay of the FICB group was 2.12 days shorter than the RA group, but the difference did not reach statistical significance ( P = .13). Conclusion FICB provides superior analgesic effect both at rest and with movement, along with rapid short-term recovery of hip function following surgery in elderly patients with hip fracture, without increasing postoperative complications or adverse events.

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Regionalanästhesie in der präklinischen Notfallmedizin

Gaik,

Schmitt,

Schubert

et al. 2024

Anästhesiol Intensivmed Notfallmed Schmerzther

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Fascia iliaca compartment block (FICB) as pain treatment in older persons with suspected hip fractures in prehospital emergency care – A comparative pilot study

Cited by 6 publications

References 43 publications

Efficacy of Continous Fascia iliaca block in Hip surgery in eldelrey : a randomized controlled clinical trial.

Efficacy of Continous Fascia iliaca block in Hip surgery in eldelrey : a randomized controlled clinical trial.

Effects of Perioperative Fascia Iliaca Compartment Block on Postoperative Pain and Hip Function in Elderly Patients With Hip Fracture

Regionalanästhesie in der präklinischen Notfallmedizin

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