Comparative study of fascia iliaca compartment block and three in one block for postoperative analgesia in patients undergoing lower limb orthopedic surgeries

Pandya, Malti J; Jhanwar, Savita

doi:10.4103/0970-5333.138435

Cited by 5 publications

(5 citation statements)

References 2 publications

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“…3 A study done by Anaraki and Mirzaei 15 showed that the use of pre-emptive gabapentin when compared with 0.5% bupivacaine in FICB had lower post-operative satisfaction and duration of analgesia. Furthermore, it is a safe and more efficacious alternative compared to the 3-in-1 block as described by the study done by Pandya and Jhanwar, 16 where they compared the fascia iliaca block with a 3-in-1 nerve block and observed that there was a better sensory blockade of a lateral cutaneous nerve of the thigh with FICB.…”

Section: Discussionmentioning

confidence: 99%

To evaluate the efficacy of ropivacaine with dexmedetomidine and ropivacaine with dexamethasone in fascia iliaca compartment block for post-operative pain relief in fracture femur surgeries: A comparative randomized study

et al. 2023

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Background: Patients with femur fracture experience severe post-operative pain. Fascia iliaca compartment block (FICB) is a safe and effective approach for providing post-operative analgesia. Aims and Objectives: The aim of the study was to compare the post-operative pain relief with dexmedetomidine and dexamethasone with ropivacaine in FICB. Materials and Methods: This prospective, double-blinded, randomized controlled, and clinical study was done on 105 patients, with ASA physical status I-II, aged between 18 and 70 years, undergoing surgery for femur fracture. Patients were randomly allocated into three groups. All patients received FICB by landmark technique before spinal anesthesia. Group A patients received 38 mL of 0.25% ropivacaine and dexmedetomidine, Group B received 38 mL of 0.25% ropivacaine and dexamethasone and Group C received 38 mL of 0.25% ropivacaine. Patients were assessed for analgesia during positioning and post-operative period using visual analog scale (VAS). Hemodynamic parameters and time for first rescue analgesia were recorded. Results: The mean VAS score at 6 h after surgery was 0.74±0.95 in Group A, in Group B 2.26±0.95, and in Group C was 4.23±1.17, which was statistically significant (P<0.05). The time for first rescue analgesia was 13.03±1.79 h in Group-A, 8.31±1.11 h in Group B and 5.94±0.87 h in Group C (P<0.001). Conclusion: Addition of dexmedetomidine or dexamethasone to ropivacaine for FICB in femur fracture patients prolongs post-operative analgesia compared to ropivacaine alone.

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Section: Discussionmentioning

confidence: 99%

To evaluate the efficacy of ropivacaine with dexmedetomidine and ropivacaine with dexamethasone in fascia iliaca compartment block for post-operative pain relief in fracture femur surgeries: A comparative randomized study

et al. 2023

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“…This research discovered a significant difference in VAS ratings between patients receiving 3-in-1 nerve block and control, showing that the 3-in-1 block had higher analgesic effectiveness. Dureja et al 10 before the surgery, the pain was measured using the VAS scale with passive hip flexion in both groups, i.e. (8)(9).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of three- in - one nerve block for post – Operative analgesia after hip hemiarthroplasty

Nivetha

Dixit

Jaiswal

et al. 2022

ijhs

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Background and aims: Hip fractures typically affect elderly patients with multiple co-morbidities. Pain control can be difficult, requiring intensive nursing and physician care as elderly patients may manifest cardiovascular and respiratory complications from opiate administration. The aim of the study was to compare three in one (3-in-1) nerve block with control regarding its analgesic efficacy in patients following hip hemiarthroplasty surgeries. Materials and Methods: Sixty patients of ASA status I or II undergoing hip hemiarthroplasty surgeries under subarachnoid block were divided into 2 groups to receive 3-in-1 nerve block (Group 1) and Control (Group 2). Each patient was assessed for VAS score, tramadol consumption postoperatively in the PACU. Results: There was significant difference between the group 3-in-1 nerve block and control group regarding the postoperative analgesia, total rescue analgesia consumption in 24 h postoperative. The mean VAS score at 2, 4, 6,8 h and total rescue analgesia consumption in 24 h were higher in control group which was statistically significant (p value<0.05). Conclusion: Three in one nerve block provide better postoperative analgesia after hip hemiarthroplasty surgeries when compare to control.

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“…Pandya and Jhanwar found that among patients who received FICB, 76.67% of patients rated it as excellent, 16.66% as good, and 6.67% as poor quality of analgesia, whereas among patients who received 3-in-1 block analgesia, it was rated as excellent, good, and poor by 56.77%, 36.66%, and 6.67% of patients, respectively. [ 16 ]…”

Section: Discussionmentioning

confidence: 99%

A clinical comparative study of fascia iliaca compartment block with bupivacaine and bupivacaine with dexmedetomidine for positioning and duration of postoperative analgesia in fracture femur under spinal anesthesia

Gopal

Krishnamurthy

2018

Anesth Essays Res

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Context:Positioning fracture femur cases for sub arachnoid block (SAB) is challenging. Fascia iliaca compartment block (FICB) is low skilled, helps positioning, and provides analgesia. Dexmedetomidine as an adjuvant prolongs analgesia.Aims:The aims were to study and compare FICB with bupivacaine and bupivacaine with dexmedetomidine in fracture femur cases with regard to positioning during SAB, duration of analgesia in terms of Visual Analog Scale (VAS), Numerical Rating Scale (NRS), and Patient Satisfaction Score, and assess side effects.Settings and Design:This was a randomized, double-blind, prospective study.Subjects and Methods:Sixty fracture femur patients were divided into two groups as follows: Group A: FICB with injection bupivacaine 0.25% 38 cubic centimeter (cc) + dexmedetomidine 0.5 μg/kg in 2 cc normal saline (NS) and Group B: FICB with injection bupivacaine 0.25% 38 cc + 2 cc NS.Statistical Analysis Used:Data were analyzed using SPSS 22.0 software. Categorical data were processed by frequencies and proportions, whereas continuous data were processed by mean standard deviation. Chi-square test and independent t-test were used as tests of significance, considering P < 0.05 as statistically significant.Results:In Group A, mean VAS score at 5 min (min) was 3.7 ± 0.9 and in Group B it was 4.3 ± 0.7. Similarly, at 15 min, mean VAS score in Group A was 0.4 ± 0.6 and in Group B it was 1.9 ± 0.9. VAS score was significantly high in Group B at 5, 10, and 15 min. Mean time to rescue analgesia in Group A was 838.3 ± 82.7 min and in Group B it was 461.5 ± 36.6 min, which was significant.Conclusion:FICB ensures patient comfort during positioning for SAB and provides postoperative analgesia. Dexmedetomidine significantly prolongs postoperative analgesia.

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Comparative study of fascia iliaca compartment block and three in one block for postoperative analgesia in patients undergoing lower limb orthopedic surgeries

Cited by 5 publications

References 2 publications

To evaluate the efficacy of ropivacaine with dexmedetomidine and ropivacaine with dexamethasone in fascia iliaca compartment block for post-operative pain relief in fracture femur surgeries: A comparative randomized study

To evaluate the efficacy of ropivacaine with dexmedetomidine and ropivacaine with dexamethasone in fascia iliaca compartment block for post-operative pain relief in fracture femur surgeries: A comparative randomized study

Effectiveness of three- in - one nerve block for post – Operative analgesia after hip hemiarthroplasty

A clinical comparative study of fascia iliaca compartment block with bupivacaine and bupivacaine with dexmedetomidine for positioning and duration of postoperative analgesia in fracture femur under spinal anesthesia

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