Pneumoretroperitoneum as a Consequence of Fascia Iliaca Block

Shelley, Benjamin; Haldane, Grant J.

doi:10.1016/j.rapm.2006.08.009

Cited by 6 publications

(2 citation statements)

References 5 publications

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“…In their study in children undergoing fascia iliaca blockade for post-operative analgesia, they demonstrated safe plasma bupivacaine concentrations that were well within established safety margins with 0.375 % ropivacaine [17]. Pneumoretroperitoneum has also been reported as a consequence of the injection [20], but does not have any direct adverse consequences. It is important to note that in treating patients with this nerve block, femoral motor blockade may result in buckling or give-way of the knee, and therefore, it is recommended that patients be educated on the risk of postoperative falls, and assistive devices such as crutches and/ or a temporary knee immobiliser should be considered.…”

Section: Discussionmentioning

confidence: 88%

Utility of multimodal analgesia with fascia iliaca blockade for acute pain management following hip arthroscopy

Krych

Baran

Kuzma

et al. 2013

Knee Surg Sports Traumatol Arthrosc

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Section: Discussionmentioning

confidence: 88%

Utility of multimodal analgesia with fascia iliaca blockade for acute pain management following hip arthroscopy

Krych

Baran

Kuzma

et al. 2013

Knee Surg Sports Traumatol Arthrosc

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“…Although FIBs are considered safe, complications have been reported to include bladder puncture and neuropathy. 1,7,9,28 More concerning, quadriceps weakness and falls have been reported at a relatively high rate with FIB blocks. 5,29 Although their study was not powered to detect statically significant differences in falls, Behrends et al 5 reported 4 falls in the group of 38 patients receiving FIBs.…”

Section: Discussionmentioning

confidence: 99%

Reduction of Postoperative Hip Arthroscopy Pain With an Ultrasound-Guided Fascia Iliaca Block: A Prospective Randomized Controlled Trial

et al. 2020

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Background: Ultrasound-guided fascia iliaca blocks have been used for pain control after hip arthroscopy. There is little evidence regarding their effectiveness in comparison with other pain control modalities in patients who have undergone hip arthroscopy. Purpose: To compare the efficacy of ultrasound-guided fascia iliac block with intra-articular ropivacaine in controlling pain after hip arthroscopy. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: Between 2015 and 2017, patients (N = 95) undergoing hip arthroscopy were randomly assigned to 2 groups. The first group received an ultrasound-guided fascia iliaca block with 50 to 60 mL of 0.35% ropivacaine. The second group received an intra-articular injection of 20 mL of 0.5% ropivacaine at the completion of the surgical case. Primary outcomes were postoperative pain scores in the recovery room; at postanesthesia care unit (PACU) discharge; and at 2 weeks, 6 weeks, and 3 months. Secondary outcomes included intraoperative and PACU narcotic usage (converted to morphine equivalent use) as well as readmission rates, PACU recovery time, and postoperative nausea and vomiting. Results: Postoperative pain across all points did not significantly differ between the groups. Intraoperative and PACU narcotics did not differ significantly between the groups. Readmission rates, PACU recovery time, and postoperative nausea and vomiting did not significantly differ between the groups. There were no associated complications in either group. Conclusion: Ultrasound-guided fascia iliaca block for hip arthroscopy had no clinical advantage when compared with onetime intra-articular ropivacaine injection. Registration: NCT02365961 (ClinicalTrials.gov identifier).

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Nerve Blocks, Trigger Points, and Intrathecal Therapy for Chronic Pain

Zhao

Cope

2011

Handbook of Pain and Palliative Care

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Pneumoretroperitoneum as a Consequence of Fascia Iliaca Block

Cited by 6 publications

References 5 publications

Utility of multimodal analgesia with fascia iliaca blockade for acute pain management following hip arthroscopy

Utility of multimodal analgesia with fascia iliaca blockade for acute pain management following hip arthroscopy

Reduction of Postoperative Hip Arthroscopy Pain With an Ultrasound-Guided Fascia Iliaca Block: A Prospective Randomized Controlled Trial

Nerve Blocks, Trigger Points, and Intrathecal Therapy for Chronic Pain

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