Comparison of the suprainguinal fascia iliaca compartment block with continuous epidural analgesia in patients undergoing hip surgeries: a retrospective study

Azizoğlu, Mustafa; Rumeli, Şebnem

doi:10.1016/j.bjane.2021.07.006

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…It significantly reduces the visual analog scale score for pain and opioid consumption within 24 hours post-surgery while also shortening hospital stays. [ 10 , 18 , 19 ] Acute pain, such as postoperative pain, may induce cardiovascular changes in which sympathetic mechanisms may play an important role. [ 20 ] This can increase blood pressure and bleeding at the surgical site.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have compared the analgesic effects of FICB, and 1 study reported reduced bleeding as an outcome. [ 19 ] However, no study has investigated epinephrine-mixed FICB. As anesthetics spread more caudally in infra-inguinal FICB, a comparison of perioperative bleeding between supra-inguinal and infra-inguinal FICB may yield significant results in the future.…”

Section: Discussionmentioning

confidence: 99%

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Effect of epinephrine-mixed fascia iliaca compartment block on bleeding in total hip arthroplasty: A single-center retrospective study

Yoo,

Park,

Seo

et al. 2024

Medicine

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Fascia iliaca compartment block (FICB) reduces opioid consumption and pain scores after total hip arthroplasty (THA), and has recently been widely applied. We investigated whether FICB could also reduce postoperative bleeding. One hundred and fifteen consecutive patients who underwent elective THA under general anesthesia over 5 months were retrospectively analyzed. They were divided into 2 groups: the FICB group received an epinephrine-mixed FICB procedure and the control group did not receive any block. Using the hematocrit measured at 4 different time points (preoperative and 1, 24, and 48 hours after surgery), the estimated blood loss (EBL) was calculated for 3 different time periods (0–1, 1–24, 24–48 hours after surgery). EBL at 1 to 24 hours (226 vs 398 mL, P = .008) was significantly lower in the FICB group than in the control group. Additionally, the number of packed red cell (PRC) units transfused per patient over 48 hours was 0.38 units in the FICB group, which was significantly lower than the 0.70 units used in the control group (P = .040). Epinephrine-mixed FICB in THA has the potential to reduce postoperative bleeding in the first 24 hours after surgery as well as reduce PRC transfusion requirements.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effect of epinephrine-mixed fascia iliaca compartment block on bleeding in total hip arthroplasty: A single-center retrospective study

Yoo,

Park,

Seo

et al. 2024

Medicine

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Nerve Blocks for Post-Surgical Pain Management: A Narrative Review of Current Research

Niyonkuru,

Iqbal,

Zeng

et al. 2024

JPR

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Opioids remain the mainstay of post-surgical pain management; however, concerns regarding addiction and side effects necessitate the exploration of alternatives. This narrative review highlights the potential of nerve blocks as a safe and effective strategy for post-surgical pain control. This review explores the use of various nerve block techniques tailored to specific surgical procedures. These include nerve blocks for abdominal surgeries; fascial plane blocks for chest surgeries; nerve blocks for arm surgeries; and nerve blocks for lower limb surgery including; femoral, hip, and knee surgeries. By targeting specific nerves, these blocks can provide targeted pain relief without the negative side effects associated with opioids. Emerging evidence suggests that nerve blocks can be as effective as opioids in managing pain, while potentially offering additional benefits such as faster recovery, improved patient satisfaction, and reduced reliance on opioids. However, the effectiveness of nerve blocks varies depending on type of surgery, and in individual patients. Rebound pain, which temporary increase in pain after a block wears off, can occur. In addition, some techniques require specialized guidance for accurate placement. In conclusion, nerve blocks show great promise as effective alternatives for managing post-surgical pain. They can reduce the need for opioids and their side effects, leading to better patient outcomes and satisfaction. Future studies should assess the long-term impacts of specific nerve blocks on mortality rates, cost-effectiveness, and their incorporation into multimodal pain management approaches to further enhance post-surgical care.

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Evaluation of the Efficacy of Fascia Iliaca Compartment Block in Maintaining Cognitive Function Post-Surgery in Elderly Individuals with Hip Fractures

NIYONKURU,

Zhang,

2024

International Journal of Innovative Science and Research Techno

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Postoperative cognitive dysfunction (POCD) is a prevalent issue among elderly hip fracture patients’ post- surgery period, leading to cognitive decline and prolonged recovery. This narrative review delves into the efficacy of Fascia Iliaca Compartment Block (FICB) in addressing POCD. FICB, a targeted anesthetic approach, not only provides efficient pain management but also reduces inflammation and minimizes opioid reliance in the elderly. By alleviating pain and inflammation, FICB facilitates enhanced early postoperative mobility, potentially lowering the likelihood of cognitive dysfunction. Research indicates that FICB can decrease tau protein levels and inflammatory markers, attenuating the inflammatory cascade linked to cognitive impairment. Moreover, FICB's ability to offer localized pain relief without systemic opioid repercussions aids in preventing complications like delirium. The utilization of FICB emerges as a pivotal strategy in optimizing postoperative outcomes and diminishing POCD incidence in elderly hip fracture patients. Further exploration and integration of FICB in clinical practice hold promise for enhancing the care of this vulnerable patient cohort.

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Comparison of the suprainguinal fascia iliaca compartment block with continuous epidural analgesia in patients undergoing hip surgeries: a retrospective study

Cited by 3 publications

References 32 publications

Effect of epinephrine-mixed fascia iliaca compartment block on bleeding in total hip arthroplasty: A single-center retrospective study

Effect of epinephrine-mixed fascia iliaca compartment block on bleeding in total hip arthroplasty: A single-center retrospective study

Nerve Blocks for Post-Surgical Pain Management: A Narrative Review of Current Research

Evaluation of the Efficacy of Fascia Iliaca Compartment Block in Maintaining Cognitive Function Post-Surgery in Elderly Individuals with Hip Fractures

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