Fascia Iliaca (FICB) block in the emergency department for adults with neck of femur fractures: A review of the literature

Efficacy and duration of ultrasound guided fascia iliaca block for hip fracture performed in the emergency departments

“…They reported a maxi- mum analgesia time of approximately 500 minutes (8 hours) [8]. Our study revealed a more prolonged analgesia.…”

“…Our study revealed a more prolonged analgesia. The differences could be explained by a different pain assessment protocol or different concentration of local anaesthetics (mainly bupivacaine or ropivacaine in 0.25-0.3%) used in other studies [8]. Demographic data, success rate of analgesia and complications rate were comparable with other studies..…”

Ultrasound‐guided femoral nerve blocks are not superior to ultrasound‐guided fascia iliaca blocks for fractured neck of femur

“…Ultrasound guidance is a superior technique for nerve block administration and may facilitate equivalent analgesic effect in FNB and FICB. It has been advocated that FICB is easier to perform with a better safety profile than FNB, therefore, utilising ultrasound‐guided FICB may improve the delays in analgesia. Using ultrasound guidance achieved a high success rate in both FNB and FICB administered with the vast majority of participants experiencing pain reduction post‐block.…”

“…There is a lack of research comparing the effectiveness of ultrasound‐guided FNB and FICB . FICB have a better safety profile than FNB and are easier to administer . In comparison to FNB, the risk of injury to the femoral nerve and femoral vessels is lessened when performing FICB.…”

The Study of Effectiveness of Analgesia with Fascia Iliaca Compartment Block (FICB) for Positioning during Spinal Anaesthesia and the Duration of Post-Operative Analgesia Using Bupivacaine in Patients with Proximal Fracture Femur

“…The use of FICB just prior to spinal anaesthesia helps to relieve the pain associated with positioning for spinal anaesthesia and improve patient compliance [4] . It is not only effective for positioning but also provides postoperative analgesia after the effect of spinal anaesthesia weans off [5] . Thus we used FICB in the present study for optimal positioning of the patient with proximal femur fracture for spinal anaesthesia and also to assess post-operative pain relief.…”