Key result
Preoperative fascia iliaca compartment block significantly reduced the number of analgesic interventions required on postoperative day 0 compared to systemic analgesics alone (3 vs. 11, p<0.0001).
Why the study?
Does preoperative fascia iliaca compartment block reduce postoperative analgesic consumption in elderly patients undergoing surgery for proximal femur fractures?
Cohort (n=78)
Does preoperative fascia iliaca compartment block reduce postoperative analgesic consumption in elderly patients undergoing surgery for proximal femur fractures?
p-value: p=<0.0001
Preoperative fascia iliaca compartment block provides effective postoperative analgesia and significantly reduces opioid consumption in elderly patients undergoing hip fracture surgery.
Preoperative FICB was associated with fewer POD0 analgesic interventions in elderly hip fracture patients; leaves open confirmation via RCTs before practice change.
BACKGROUND: Fractures of the proximal femur in elderly patients are a challenge for orthopedics, anesthe-sio-logy and geriatrics. Early mobilization reduces postoperative mortality among these patients. Effective anal-gesia is necessary to achieve this goal. MATERIAL AND METHODS: A retrospective analysis of perioperative medical records of 78. patients undergoing surgical treatment of proximal femur fractures was performed. Group 1 (n=35)consisted of patients who were treated with pharmacologic analgesia only (systemic analgesics) and Group 2 (n=43) involved patients who re-ceived a preoperative fascia iliaca compartment block (FICB) and pharmacologic analgesia. FICB was per-formed under ultrasound guidance, and systemic analgesics were administered according to a standardized pro-to-col. Demographics, anesthesia and operation data as well as the dosage of analgesics used on postoperative day 0 were collected for the study. RESULTS: Patients with antecedent iliac fascia blockade required fewer analgesic interventions (3 vs. 11, p <0.0001) and showed significantly less need for analgesics than non-block patients. No complications were observed after performing FICB. CONCLUSION: The iliac fascia compartment block produces effective postoperative analgesia and reduces postoperative opioid consumption.
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Klukowski et al. (2017) conducted a cohort in Proximal femur fractures (n=78). Preoperative fascia iliaca compartment block (FICB) vs. Pharmacologic analgesia only (systemic analgesics) was evaluated on Analgesic interventions on postoperative day 0 (p=<0.0001). Preoperative fascia iliaca compartment block significantly reduced the number of analgesic interventions required on postoperative day 0 compared to systemic analgesics alone (3 vs. 11, p<0.0001).
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