Key result
Suprainguinal fascia iliaca block shows comparable opioid consumption to continuous epidural analgesia after hip surgery.
Why the study?
Pain control is a major concern after major hip surgeries, and suprainguinal fascia iliaca compartment block is an alternative, less invasive analgesic technique compared to epidural analgesia.
Does single shot ultrasound guided suprainguinal fascia iliaca compartment block provide comparable analgesia to continuous epidural analgesia in patients undergoing major hip surgeries?
Cohort (n=150)
No
Does single shot ultrasound guided suprainguinal fascia iliaca compartment block provide comparable analgesia to continuous epidural analgesia in patients undergoing major hip surgeries?
Suprainguinal fascia iliaca compartment block provides comparable postoperative analgesia to epidural analgesia after major hip surgery, with a lower incidence of hypotension.
Answers are grounded in this paper and cite their sources.
Suprainguinal fascia iliaca block was associated with similar opioid use versus epidural after hip surgery; leaves open confirmation in randomized trials.
BACKGROUND AND OBJECTIVE: Pain control is one of the major concerns after major hip surgeries. Suprainguinal fascia iliaca compartment block (S-FICB) is an alternative analgesic technique that can be considered as an effective and less invasive method than epidural analgesia (EA). In this retrospective study, we compared postoperative analgesic efficacy of single shot ultrasound guided S-FICB and EA after major hip surgery. METHODS: We retrospectively examined 150 patients who underwent major hip surgeries and who received S-FICB or EA. Seventy-two patients submitted to EA and 78 patients who received S-FICB were included and their medical records retrospectively reviewed. Morphine consumptions, VAS scores, and side effects were recorded. Patients under antiplatelet or anticoagulant theraphy were also registered. Morphine consumption and VAS scores were the primary endpoints, succes rate and complications were the secondary endpoints of our study. P-values less than 0.05 were considered statistically significant. RESULTS: Morphine consumption was lower at the emergence in the EA group but there was no statistically significant difference between the two groups according to total opioid consumption (0 [0-0] vs 0 [0-0]; p = 0.52). There was no difference between VAS scores in the first 18 hours. Hypotension was significantly higher in the EA group (9 vs 21; p = 0.04). CONCLUSION: hour. Hypotension has occured more frequently in patients receiving EA.
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Azizoğlu et al. (2021) conducted a cohort in Major hip surgeries (n=150). Suprainguinal fascia iliaca compartment block (S-FICB) vs. Continuous epidural analgesia (EA) was evaluated on Total opioid consumption (p=0.52). Suprainguinal fascia iliaca compartment block provided comparable total opioid consumption to continuous epidural analgesia (median 0 vs 0 mg, p=0.52) in the first 48 hours after major hip surgery.
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