The efficacy of fascia iliaca compartment block for pain control after hip fracture

Hong, Huikan; Ma, Yi

doi:10.1097/md.0000000000016157

Cited by 36 publications

(38 citation statements)

References 28 publications

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“…Although almost a decade has passed since the first description of FICB [ 15 ], reports on its applicability for elective total posterolateral hip replacement are still sparse. Furthermore, most of the available studies and meta-analyses concern mainly trauma patients, in whom the use of FICB reduces pain intensity, the need for opioids, and the rates of complications arising from their systemic use [ 22 , 23 , 24 ].…”

Section: Discussionmentioning

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: Discussionmentioning

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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“…However, they only included 5 RCTs for meta-analysis. Hong et al [ 22 ] suggested that FICB has a beneficial role in reducing pain intensity and morphine consumption after hip fracture than the control group. Current meta-analysis has shown that FICB has an equivalent pain control in hip and knee surgeries.…”

Section: Discussionmentioning

confidence: 99%

Femoral nerve block versus fascia iliaca block for pain control in knee and hip arthroplasties

2021

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Background: This meta-analysis aimed to compare the efficiency of fascia iliaca compartment block (FICB) and femoral nerve block (FNB) for pain management in knee and hip surgeries. Methods: We searched four electronic databases (Pubmed, Embase, Cochrane library database, Web of Science) from inception to January 2019. Only randomized controlled trials (RCTs) were included. Two review authors independently extracted data for each included study. Primary outcomes were visual analogue scale at 12 hours, 24 hours, 48 hours, total morphine consumption, the length of hospital stay and the occurrence of nausea and vomiting. Standardized mean difference (SMD) or risk ratio (RR) and 95% confidence intervals (CIs) were calculated for continuous outcomes and discontinuous outcomes respectively. We used the Cochrane Risk of Bias tool to assess risk of bias. Stata 12.0 was used for meta-analysis. Results: Finally, 7 RCTs involving 508 patients (FICB = 254, FNB = 254) were included in this meta-analysis. Compared with FNB group, FICB has no benefit for visual analogue scale at 12 hours (SMD = 0.02, 95% CI, −0.15 to 0.19; P = .820), 24 hours (SMD = −0.02, 95% CI, −0.22 to 0.18; P = .806), and 48 hours (SMD = −0.02, 95% CI, −0.22 to 0.19; P = .872). No significant differences were found regarding total morphine consumption (SMD = −0.07, 95% CI, −0.29 to 0.15; P = .533). What's more, there was no significant difference between the length of hospital stay and the occurrence of nausea and vomiting ( P > .05). Conclusion: FICB has equivalent pain control and morphine-sparing efficacy when compared with FNB. More high-quality RCTs are needed to identify the optimal drugs and volume of local infiltration protocols.

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“…It is also approved for the treatment of acute pain in fracture and burn patients admitted to the facility. FICB appeared to be an effective and relatively safe adjunct to perioperative pain management of femoral and hip fractures, according to a systematic review and meta-analysis research [ [21] , [22] , [23] ]. FICB is used for preoperative, intraoperative, and postoperative analgesia after femur, knee, and hip fractures or surgery.…”

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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The efficacy of fascia iliaca compartment block for pain control after hip fracture

Abstract: Supplemental Digital Content is available in the text

Cited by 36 publications

References 28 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

Femoral nerve block versus fascia iliaca block for pain control in knee and hip arthroplasties

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

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