The impact of fascia iliaca compartment block on chronic postsurgical pain in patients undergoing hip fracture repair

Diakomi, Maria; Papaioannou, Marianna; Georgoudis, George; Αrgyra, Eriphili; Μελά, Α.; Siafaka, Ioanna; Μakris, Alexandros

doi:10.1016/j.jclinane.2020.109801

Cited by 11 publications

(31 citation statements)

References 42 publications

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“…Aside from the definite efficacy of FICB in the alleviation of postoperative acute pain, it may also play an active role in the relief of chronic postsurgical pain (CPSP). Diakomi et al [ 47 ] examined the impact of FICB on the development of CPSP after hip surgery, and they found that FICB group presented with lower hip-related characteristic pain intensity scores at 3 months postoperatively, with a lower percentage of patients with high-grade CPSP at 3 and 6 months after surgery. This investigation is novel and interesting, which implies that FICB may also have a positive effect on CPSP.…”

Section: Discussionmentioning

confidence: 99%

Fascia Iliaca Compartment Block for Perioperative Pain Management of Geriatric Patients with Hip Fractures: A Systematic Review of Randomized Controlled Trials

Wan

et al. 2020

Pain Research and Management

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Background. With continuous increase of the aging population, the number of geriatric patients with fragility hip fractures is rising sharply, and timely surgery remains the mainstay of treatment. However, adequate and effective pain control is the precondition of satisfactory efficacy. This systematic review aimed to summarize the use of fascia iliaca compartment block (FICB) as an analgesic strategy for perioperative pain management in geriatric patients with hip fractures. Methods. PubMed and Embase databases were searched for English published randomized controlled trials (RCTs) reporting application of FICB for pain control of the older adults with hip fractures between January 1st, 2000, and May 31st, 2020. The modified Jadad scale was used to evaluate quality of the RCTs included. Primary outcomes of the eligible RCTs were presented and discussed. Results. A total of 27 RCTs with 2478 cases were included finally. The present outcomes suggested, after admission or in the emergency department (ED), FICB can provide patients with equal or even better pain relief compared with the conventional analgesia methods, which can also reduce additional analgesic consumptions. While, before positioning for spinal anesthesia (SA), FICB is able to offer superior pain control, facilitating SA performance, after surgery FICB can effectively alleviate pain with decreased use of additional analgesics, promoting earlier mobilization and preventing complications. Conclusions. FICB is a safe, reliable, and easy-to-conduct technique, which is able to provide adequate pain relief during perioperative management of geriatric patients with hip fractures.

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Section: Discussionmentioning

confidence: 99%

Fascia Iliaca Compartment Block for Perioperative Pain Management of Geriatric Patients with Hip Fractures: A Systematic Review of Randomized Controlled Trials

Wan

et al. 2020

Pain Research and Management

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“…Thus, 2114 study abstracts were screened for eligibility. Full text screening was performed in 118 of these studies and after this procedure 15 studies were found to ful l the inclusion criteria [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. However, three trials were subsequently excluded; one trial was only published as a detailed abstract and the author did not respond to our inquiry of supplementary data [24]; one study had to be excluded due to the participants in the intervention group not being randomised directly to US-PNBs [25] and one trial[26] permitted a single shot US-guided femoral nerve block as rescue treatment in the standard care (control) group "as it was felt unethical to deprive participants of this commonly used technique".…”

Section: Study Selectionmentioning

confidence: 99%

“…Five trials investigated the femoral nerve block [15,16,20,23,28], two the 3-in-1 block [18,21] and six the fascia iliaca compartment block [17-19, 22, 27, 29]. Of the 12 trials, four sought to blind the patients by using a type of sham block [15,17,19,20]. Eight trials had a single shot US-PNB as intervention [15-18, 20, 23, 27, 29] whereas four trials administered an initial bolus before placing a catheter for continuous infusion [19,21,22,28].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Data is presented in Table 4. In addition to the eight trials, one trial [17] claimed to have measured signi cantly lower NRS scores "both prior and after positioning for spinal anaesthesia" in the intervention group, but they only reported data on postoperative pain and the authors did not respond to our inquiry of preoperative data. The study was therefore not included in our meta-analysis of the primary outcome.…”

Section: Primary Outcomementioning

confidence: 99%

“…Seven studies [15,17,18,22,23,27,29] mentioned monitoring for serious adverse events or complications related to nerve blocks.…”

Section: Prevalence Of Serious Adverse Effects/adverse Eventsmentioning

confidence: 99%

See 2 more Smart Citations

Ultrasound-guided peripheral nerve blocks for preoperative pain management in hip fractures: a systematic review

Exsteen

Svendsen

Rothe

et al. 2022

Preprint

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Systematic reviews associate peripheral nerve blocks based on anatomic landmarks or nerve stimulation with reduced pain and need for systemic analgesia in hip fracture patients. We aimed to investigate the effect of ultrasound-guided nerve blocks compared to nerve blocks without the use of ultrasound and to conventional analgesia for preoperative pain management in hip fractures. Five databases were searched until June 2021 to identify randomised controlled trials. Two independent authors extracted data and assessed risk of bias. Data was pooled for meta-analysis and quality of evidence was evaluated using Grades of Recommendation Assessment, Development and Evaluation (GRADE). Our search did not identify trials comparing ultrasound-guided nerve blocks to different block techniques without use of ultrasound. However, we included 12 trials (976 participants) comparing ultrasound-guided nerve blocks to conventional systemic analgesia. In favour of ultrasound, pain after block placement decreased with a mean difference of -2.35 (VAS 0 to 10); (p<0.001) 95% CI [–3.07 to –1.62]. In favour of ultrasound, preoperative analgesic usage of iv. morphine equivalents in milligram decreased with mean difference of –5.34 (p=0.003) 95% CI [–8.11 to –2.58]. Further, ultrasound-guided nerve blocks may be associated with a lower frequency of delirium, fewer serious adverse events and higher patient satisfaction. However, the quality of evidence was judged low or very low. In conclusion, no trials comparing ultrasound to other block techniques were found, thus not permitting conclusions on our primary aim. Despite low quality of evidence, ultrasound-guided blocks were associated with benefits compared to conventional systemic analgesia.

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Peripheral Nerve Blocks in the Preoperative Management of Hip Fractures: A Systematic Review and Network Meta-Analysis

Hayashi,

Yamamoto,

Kuroda

et al. 2024

Annals of Emergency Medicine

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The impact of fascia iliaca compartment block on chronic postsurgical pain in patients undergoing hip fracture repair

Cited by 11 publications

References 42 publications

Fascia Iliaca Compartment Block for Perioperative Pain Management of Geriatric Patients with Hip Fractures: A Systematic Review of Randomized Controlled Trials

Fascia Iliaca Compartment Block for Perioperative Pain Management of Geriatric Patients with Hip Fractures: A Systematic Review of Randomized Controlled Trials

Ultrasound-guided peripheral nerve blocks for preoperative pain management in hip fractures: a systematic review

Peripheral Nerve Blocks in the Preoperative Management of Hip Fractures: A Systematic Review and Network Meta-Analysis

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