Fascia iliaca compartment block: How far does the local anaesthetic spread and is a real time continuous technique feasible in children?

Ponde, Vrushali; Gursale, Anuya; Chavan, Dilip; Johari, Ashok; Osazuwa, Maryrose; Nagdev, Tripti

doi:10.4103/ija.ija_344_19

Cited by 8 publications

(12 citation statements)

References 25 publications

(29 reference statements)

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“…FICB is increasingly being used for postoperative analgesia in orthopaedic surgeries such as hip arthroplasty and even for anterolateral thigh surgeries in children. [ 6 ] We observed a significant reduction in the amount of total tramadol consumption over 24 hours in group S as compared to group I ( P = 0.028). Also, the reduction in tramadol consumption was by 77.1% (+34.16) in Group S as compared to 54.2% (+20.0) in group I, which was statistically significant ( P = 0.028).…”

Section: Discussionmentioning

confidence: 73%

Comparison of suprainguinal approach with infrainguinal approach of fascia iliaca compartment block for postoperative analgesia

Bansal¹,

Sharma²,

Singh³

et al. 2022

Indian J Anaesth

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Background and Aims: Fascia iliaca compartment block (FICB) is increasingly being used for anaesthesia and analgesia of the hip, knee and thigh. It can be administered via two ultrasound-guided approaches, suprainguinal and infrainguinal. This study aimed to compare the analgesic efficacy of the suprainguinal approach of FICB with infrainguinal approach of FICB in patients undergoing above knee orthopaedic surgeries. Methods: In this single-centre, double-blinded randomised trial, 32 patients undergoing above knee lower limb orthopaedic surgery under spinal anaesthesia were randomised into group I (infrainguinal FICB) and S (suprainguinal FICB). They were given ultrasound-guided FICB with 30 mL 0.2% ropivacaine for postoperative analgesia using the respective approaches. Injection tramadol was administered as a rescue analgesic when Numeric Rating Scale (NRS) ≥4. A blinded observer recorded pain score (NRS) from the initiation of the block every 2 h for 24 h. Time to first rescue analgesia, total duration of analgesia and analgesic consumption, and patient satisfaction score were noted. Results: The mean pain scores were comparable between the two groups at all time intervals till 24 h except at 12 h and 20 h, when pain intensity was significantly less in group S than in group I. Total tramadol consumption was also significantly less in group S. There was no significant difference in time to first rescue analgesia and total duration of analgesia between the two groups. At 24 h, the patient satisfaction score was significantly better in group S. Conclusion: Suprainguinal FICB has superior analgesic efficacy over infrainguinal FICB in terms of reduced pain intensity, reduced 24-h tramadol consumption and better patient satisfaction.

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Section: Discussionmentioning

confidence: 73%

Comparison of suprainguinal approach with infrainguinal approach of fascia iliaca compartment block for postoperative analgesia

Bansal¹,

Sharma²,

Singh³

et al. 2022

Indian J Anaesth

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“…This volume limitation aligns with similar protocols used in studies by Ponde et al who explored the spread of local anesthetic in the fascia iliaca compartment. 23 However, it is important to acknowledge that the effectiveness of the SIFI block may be impacted by the volume of local anesthetic used, as highlighted in the studies. 22 , 23 …”

Section: Discussionmentioning

confidence: 99%

THE GLUTEUS DEEP INVESTING FASCIA COMPARTMENT BLOCK: A Novel Technique for Posterior Femoral Cutaneous Nerve Block

Shabani,

Beye,

Traore

et al. 2024

LRA

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Purpose The posterior femoral cutaneous nerve (PFCN) block is used in regional anesthesia for lower extremity surgery. This study introduces a new ultrasound-guided technique called the “Gluteus-Deep Investing Fascia compartment Block (GDIF block)“ for blocking the PFCN. This approach involves injecting local anesthetic into the potential space between the gluteus maximus muscle and the deep investing fascia, named the ‘Gluteus Deep Investing Fascia Compartment’. The study discusses the anatomical and sonographic features crucial for identifying this compartment and explores the potential benefits of this approach for achieving effective PFCN block. Additionally, it examines the clinical application of the GDIF block for PFCN block as part of the Complete Lower Extremity Fascia Tri-compartment Block technique, named ”CLEFT Block.” This technique combines the suprainguinal fascia iliaca block with GDIF compartment block for PFCN and a sciatic nerve block as exclusive anesthesia technique. Patients and Methods Nine patients with weapon-related lower limb injuries underwent surgery at district hospitals supported by the International Committee of the Red Cross. Between October and December 2023, seventeen above-knee procedures were performed for the nine patients using the GDIF block as part of a CLEFT block technique. Anesthesia was performed with a CLEFT block technique using a volume ratio of 1:1 of 1% lidocaine and 0.5% levobupivacaine. Results The GDIF block technique for PFCN blockade was performed successfully in all patients without complications, achieving complete PFCN blockade. The CLEFT block technique proved effective as the sole anesthetic technique for seventeen above-knee procedures. All surgeries were completed successfully without additional pain medication or conversion to general anesthesia. Conclusion The GDIF block appears to be a promising technique for anesthetic management, alone or as part of the CLEFT block. Further research with a larger patient population is necessary to validate these findings.

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“…Two common techniques used are the quadratus lumborum block (QLB) and fascial iliac compartment block (FICB). [11][12][13] QLB involves injecting a local anesthetic near the quadratus lumborum muscle, which targets the lumber plexus and helps alleviate acute pain in the lower back. On the other hand, FICB involves the administration of local anesthesia to block specific nerves associated with acute pain in the hip joint.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided fascia iliaca compartment block for pain control in total hip arthroplasty: A systematic review and meta-analysis

Zhang,

Wang,

Qiu

et al. 2023

Medicine

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Background: Previous studies have investigated the effectiveness and safety of ultrasound-guided fascia iliaca compartment block (UGFICB) compared to quadratus lumborum block (QLB) for pain management in total hip arthroplasty (THA). However, there is currently a lack of a systematic review specifically addressing this issue. Therefore, the purpose of this study was to conduct a comprehensive analysis and comparison of the efficacy and safety of UGFICB versus QLB for pain management in THA. Methods: An extensive search was conducted in various electronic databases, including PUBMED, EMBASE, Cochrane Library, Web of Science, Scopus, China Biomedical Literature Service System, and China National Knowledge Infrastructure. This search encompassed all relevant studies published from the inception of these databases until June 30, 2023. The selected outcomes for analysis included moving and resting visual analogue scale (VAS) scores at 12 hours and 24 hours post-surgery, as well as opioids consumption at 24 hours post-surgery. The Cochrane risk-of-bias tool was utilized to assess the risk of bias in the trials included in the analysis. Statistical analysis was conducted using RevMan 5.4 software. Results: A total of 8 trials, involving 656 patients, were included in this study. The results of the meta-analysis showed no significant differences between the 2 modalities in terms of moving VAS scores (mean difference [MD] = 0.17, 95% confidence interval [CI] [−0.79, 1.14], P = .72) and resting VAS scores (MD = 0.04, 95% CI [−0.27, 0.36], P = .78) at 12 hours post-surgery, and moving VAS scores (MD = 0.27, 95% CI [−0.46, 1.01], P = .47) and resting VAS scores (MD = −0.05, 95% CI [−0.45, 0.35], P = .80) at 24 hours post-surgery. However, there was significant differences in opioids consumption at 24 hours post-surgery (MD = 8.98, 95% CI [2.04, 15.93], P = .01) between the 2 groups. Conclusion: Based on these findings, the study concludes that UGFICB may be more beneficial than QLB for pain management in THA. However, it is important to interpret these results with caution due to certain limitations.

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Fascia iliaca compartment block: How far does the local anaesthetic spread and is a real time continuous technique feasible in children?

Cited by 8 publications

References 25 publications

Comparison of suprainguinal approach with infrainguinal approach of fascia iliaca compartment block for postoperative analgesia

Comparison of suprainguinal approach with infrainguinal approach of fascia iliaca compartment block for postoperative analgesia

THE GLUTEUS DEEP INVESTING FASCIA COMPARTMENT BLOCK: A Novel Technique for Posterior Femoral Cutaneous Nerve Block

Ultrasound-guided fascia iliaca compartment block for pain control in total hip arthroplasty: A systematic review and meta-analysis

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