Ultrasound-guided suprainguinal fascia iliaca compartment block for postoperative analgesia in patients undergoing hip and femur surgeries: A retrospective analysis

Shamim, Rafat; Prasad, Ganpat; Bais, Prateek Singh; Priya, Vansh; Singh, Tapas Kumar; Ambasta, Suruchi; Philips, Abhishek K

doi:10.4103/aer.aer_9_21

Cited by 4 publications

(4 citation statements)

References 18 publications

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“…It was concluded that FICB done with landmark technique using bupivacaine and dexmedetomidine prior to SAB for fracture femur surgeries ensured better patient comfort during positioning and significantly prolonged the post-operative analgesia when compared to plain [22] bupivacaine. A retrospective analysis of USG-guided FICB for postoperative analgesia in patients undergoing hip and femur surgeries in 203 patients concluded that, addition of dexmedetomidine to bupivacaine provides and prolonged good quality postoperative analgesia and reduced requirement for rescue analgesic in comparison with [23] bupivacaine alone in FICB.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Guided Fascia Iliaca Compartment Block Using Either Bupivacaine or Bupivacaine With Dexmedetomidine for Postoperative Analgesia in Patients With Femur Fractures.

B Muniyappa,

S S,

Adeeba Nousheen

et al. 2023

PIJR

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Background : Femur fractures are extremely painful due to the lowest pain threshold of the periosteum among the deep somatic structures. Perioperative Fascia Iliaca Compartment Block (FICB), when administered using a local anesthetic agent, bupivacaine, can reduce morbidity by providing satisfactory pain relief. Dexmedetomidine, an alpha-2 agonist, is known to prolong the local anesthetic effects without causing any significant side effects. We compared analgesic duration of ultrasound guided FICB with bupivacaine alone and bupivacaine with dexmedetomidine for postoperative analgesia. A prospective, randomized, double blinded study was conducted on 50 patients Materials And Method: aged 18 to 65 years undergoing femur fracture surgeries. Patients were divided into 2 groups of 25 each. Both groups received USG guided FICB. Group A received 28 ml 0.25% bupivacaine and 2 ml normal saline (NS). Group B received 28 ml 0.25% bupivacaine and 30 mcg dexmedetomidine in NS. Pain scores were assessed every 5 minutes until 15 minutes post FICB, during positioning for subarachnoid block and every 2 hours until 24 hours post-operatively. Total duration of analgesia, cumulative analgesia requested in 24 hours, Ramsay sedation and patient satisfaction scores were recorded. Results: The mean duration of analgesia in Group A was 419.4 ± 115.35 minutes (95%CI: 374.2 – 464.6) and in Group B was 656.6 ± 137.99 minutes (95%CI: 602.5 –710.7), p <0.001. Mean VAS score during positioning for SAB in Group A was 1.60 ± 0.50 and in Group B was 0.96 ± 0.68. USG guided FICB with dexmedetomidine is superior in Conclusion: providing prolonged post-operative analgesia in comparison to bupivacaine alone

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Section: Discussionmentioning

confidence: 99%

Ultrasound Guided Fascia Iliaca Compartment Block Using Either Bupivacaine or Bupivacaine With Dexmedetomidine for Postoperative Analgesia in Patients With Femur Fractures.

B Muniyappa,

S S,

Adeeba Nousheen

et al. 2023

PIJR

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“…Orthopedic procedures involving the hip, femur, and upper thigh in pediatric patients are associated with moderate-to-severe postoperative pain. 14 , 16 As in adults, regional anesthetic techniques are frequently used to supplement general anesthesia and provide postoperative analgesia following major pediatric orthopedic surgery involving the hip, femur, and upper thigh. 3 , 17 These regional anesthetic techniques have gained favor in the pediatric population as they have been shown to decrease intraoperative volatile anesthetic requirements, decrease opioid consumption postoperatively, and reduce the time to discharge.…”

Section: Discussionmentioning

confidence: 99%

Short Communication: Lumbar Plexus Block versus Suprainguinal Fascia Iliaca Block to Provide Analgesia Following Hip and Femur Surgery in Pediatric-Aged Patients – An Analysis of a Case Series

DeLong¹,

Krishna²,

Roth³

et al. 2021

LRA

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Introduction:For surgical procedures involving the hip and femur, various regional anesthetic techniques may be used to provide analgesia. Although there has been an increase in the use of lumbar plexus block (LPB), the technique may be time consuming and associated with complications. Suprainguinal fascia iliaca compartment block (FICB) is a potentially easier and safer alternative. The current study prospectively compares LPB with suprainguinal FICB. Methods: This prospective, double-blinded, randomized, study included patients undergoing elective orthopedic procedures of the hip and/or femur. All study patients received general anesthesia with randomization to either an LPB or suprainguinal FICB using 0.5% ropivacaine with epinephrine and dexamethasone. Postoperative pain control was achieved with intravenous hydromorphone delivered by patient-controlled analgesia with scheduled acetaminophen and ketorolac. Outcome data included time to perform the block, perioperative opioid consumption, postoperative pain scores (VAS) and hospital length of stay. Results:The study cohort included 15 patients between the ages of 7 and 16 years (LPB N = 7, FICB N = 8). The median block time was 6 minutes (IQR: 4.11) for the LPB group and 3 minutes (IQR: 3.6) for the FICB group (p = 0.107). Median postoperative pain scores were 4 (IQR: 0.6) for the LPB group and 2 (IQR: 0.5) for the FICB group (p = 0.032). There were no differences in the intraoperative or postoperative opioid and NSAID use between the two groups. Discussion: The suprainguinal FICB provides analgesia that is at least as effective as a LPB following hip and femur surgery. Time to perform the block was shorter with the FICB due to the supine patient position and limited needle trajectory. Although we noted no adverse effects, the superficial needle trajectory of the FICB offers a less invasive approach and the potential for decreased risks of adverse effects.

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“…The needle tip was placed, in plane approach, on the posterior aspect of the muscle. Under ultrasound visualization, 20 mL of levobupivacaine 0.25% with dexamethasone 4 mg 2 was injected to spread in the plane between the quadratus lumborum muscle, the median aspect of the thoracolumbar fascia, and the latissimus dorsi muscle (Figure 1).…”

Section: Methodsmentioning

confidence: 99%

Posterior Quadratus Lumborum Block, A Novel Approach to Treat Chronic Hip Pain: A Case Series

Fernández

Aguirre

López³

2023

A&A Practice

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Osteoarthritis frequently results in chronic pain and has a major impact on patients' quality of life. We present a case series of 20 patients with chronic hip pain who received a posterior quadratus lumborum block with the aim of improving their pain and, consequently, their quality of life. The results showed global improvement in pain and quality of life. These preliminary results support our conclusion. Posterior quadratus lumborum block is a safe and minimally invasive option for refractory chronic hip pain.

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Ultrasound-guided suprainguinal fascia iliaca compartment block for postoperative analgesia in patients undergoing hip and femur surgeries: A retrospective analysis

Cited by 4 publications

References 18 publications

Ultrasound Guided Fascia Iliaca Compartment Block Using Either Bupivacaine or Bupivacaine With Dexmedetomidine for Postoperative Analgesia in Patients With Femur Fractures.

Ultrasound Guided Fascia Iliaca Compartment Block Using Either Bupivacaine or Bupivacaine With Dexmedetomidine for Postoperative Analgesia in Patients With Femur Fractures.

Short Communication: Lumbar Plexus Block versus Suprainguinal Fascia Iliaca Block to Provide Analgesia Following Hip and Femur Surgery in Pediatric-Aged Patients – An Analysis of a Case Series

Posterior Quadratus Lumborum Block, A Novel Approach to Treat Chronic Hip Pain: A Case Series

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