Anesthesia Technique and Outcomes After Hip Fracture Surgery

Dillane, Derek; Green, James

doi:10.1001/jama.2014.11226

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Minimizing the side effects of anesthesia and opioids improves patient's satisfaction and accelerates recovery. 27 The FNB group showed a reduction in the side effects, which was consistent with the results of previous studies. 3,28,29 The benefits of block analgesia vs non-block analgesia were clearly demonstrated.…”

Section: Discussionsupporting

confidence: 92%

Comparison of Femoral Nerve Block and Fascia Iliaca Block for Proximal Femoral Fracture in the Elderly Patient: A Meta-analysis

Han

2022

Geriatr Orthop Surg Rehabil

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Introduction Pain management modalities after proximal femoral fracture are variable and have been studied extensively. Regional anesthesia, specifically femoral nerve (FNB) and fascia iliaca compartment blocks (FICB), can be used to provide analgesia preoperatively. Methods Systematic searches of all related literature were conducted in the Medline, Embase, and Cochrane Central Register of Controlled Trials databases. Randomized controlled trials (RCTs) of proximal femoral fractures were included. The pain scores at different time points, opioid requirement in 24 h, mean arterial pressure, time for spinal anesthesia, patient satisfaction, and incidence of side effects between the 2 groups were extracted throughout the study. Results Fifteen RCTs including 1240 patients met the inclusion criteria. The present meta-analysis indicated that compared with FNB, FICB could decrease the visual analog scale (VAS) scores at 4 h after surgery (P < .05). The incidence of side effects (nausea, vomiting, and sedation) was lower in the FNB group (P < .05). Compared to the FICB, no significant difference was found at any other observed time point. Additionally, no difference was found in opioid requirement at 24 h, mean arterial pressure, time for spinal anesthesia, or patient satisfaction (P > .05). Conclusions FICB demonstrates a reduction in VAS score at 4 while FNB decreases the risk of several adverse events. More high-quality RCTs are necessary for proper comparison of the efficacy and safety of FNB and FICB.

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Section: Discussionsupporting

confidence: 92%

Comparison of Femoral Nerve Block and Fascia Iliaca Block for Proximal Femoral Fracture in the Elderly Patient: A Meta-analysis

Han

2022

Geriatr Orthop Surg Rehabil

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“…Our overall results show that FNB has more advantages in reducing VAS scores postoperatively at 24 h at rest and the incidence rate of nausea, vomiting, and sedation, respectively. The low incidence of those side effects can not only effectively improve patient satisfaction but also help patients recover faster after surgery [ 25 ]. Our meta-analysis confirms previous studies reporting decreased postoperative side effects associated with FNB [ 3 , 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Is Femoral Nerve Block Superior to Fascia Iliac Block in Hip Surgery? Meta‐Analysis of Randomized Controlled Trials

Han

2022

BioMed Research International

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Background. Femoral nerve block (FNB) and fascia iliac compartment block (FICB) are alternative methods of pain relief during hip surgery. Nevertheless, the effectiveness and safety of FNB compared with FICB are yet to be fully determined. Methods. Electronic databases were systematically searched. Only randomized controlled trials (RCTs) on hip surgery were included. Postoperatively, the pain scores at different time points, narcotic requirements in 24 h, mean arterial pressure, spinal anesthesia (SA) time, patient satisfaction, and adverse effect rates between the two groups were extracted throughout the study. Results. Fourteen RCTs including 1179 patients were included. Compared to the FICB, FNB decreased the VAS scores postoperatively at 24 h at rest ( P < 0.05 ) and the incidence rate of some side effects (nausea, vomiting, and sedation) ( P < 0.05 ). However, compared to the FICB, no significant difference was found in the FNB regarding the VAS scores postoperatively at any of the other time points (2 min, 20 min, 2 h, 24 h at movement, 48 h at rest, and 48 h at movement). Patients in both groups had similar narcotic needs after 24 h, mean arterial pressure, SA time, and patient satisfaction ( P > 0.05 ). Conclusions. FNB has more advantages in reducing VAS scores postoperatively at 24 h at rest and the odds of some adverse effects. A better quality RCT is needed to properly compare FNB with FICB.

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Using machine-learning to decode postoperative hip mortality Trends: Actionable insights from an extensive clinical dataset

Lin,

Jin,

Ivanov

et al. 2024

Injury

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Anesthesia Technique and Outcomes After Hip Fracture Surgery

Cited by 3 publications

References 7 publications

Comparison of Femoral Nerve Block and Fascia Iliaca Block for Proximal Femoral Fracture in the Elderly Patient: A Meta-analysis

Comparison of Femoral Nerve Block and Fascia Iliaca Block for Proximal Femoral Fracture in the Elderly Patient: A Meta-analysis

Is Femoral Nerve Block Superior to Fascia Iliac Block in Hip Surgery? Meta‐Analysis of Randomized Controlled Trials

Using machine-learning to decode postoperative hip mortality Trends: Actionable insights from an extensive clinical dataset

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