Effect of perioperative ultrasound guided fascia iliaca compartment block in elderly adults with hip fractures undergoing arthroplasty in spinal anesthesia—a randomized controlled trial

Chen, Liang; Liu, Shuangmei; Cao, Yanyan; Yan, Lei; Shen, Yang

doi:10.1186/s12877-023-03786-5

Cited by 9 publications

(1 citation statement)

References 21 publications

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“…increasing each year [3] . Hip fractures often cause moderate to severe pain and are accompanied by high mortality and disability rates, which seriously affect patients' mobility and quality of life [4,5] . Pain is known as the fth vital sign [6] .…”

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confidence: 99%

Perioperative efficacy and safety of nerve blocks in elderly patients undergoing hip surgery:A single-centre randomized trial

Han,

Jiang,

et al. 2023

Preprint

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Objective As patient comfort is important, the importance of preventive analgesia is increasing. This trial was conducted to explore the efficacy and safety of ultrasound-guided quadratus lumborum block for elderly patients in the perioperative period of hip surgery. Methods Patients who planned to undergo hip surgery were randomly assigned to the intervention group or the control group. The intervention group received an ultrasound-guided quadratus lumborum block one day before surgery. The pain score, sleep quality, inflammatory indexes and incidence of adverse reactions were compared between the two groups. Results We conducted a randomized, controlled, double-blind trial. Patients who planned to undergo hip surgery were recruited and randomly assigned to either the intervention group or the control group. A total of 83 patients were included in the trial. The NRS score of the intervention group was significantly lower than that of the control group at 4 h after nerve block and in the knee-thoracic position under anaesthesia (P < 0.05). The sleep quality of the two groups was significantly better on the day of surgery and postoperative day 1 and 2 days than that before surgery (P < 0.05). Conclusions Ultrasound-guided quadratus lumborum block for preventive analgesia in elderly patients undergoing hip surgery can effectively relieve acute pain, reduce pain associated with position change under anaesthesia, improve sleep quality during the perioperative period, and avoid increasing inflammatory stress or the incidence of adverse reactions. Trial registration: Clinical trial registration number: ChiCTR2100050537. Full date of the first registration: 28/08/2021.

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confidence: 99%

Perioperative efficacy and safety of nerve blocks in elderly patients undergoing hip surgery:A single-centre randomized trial

Han,

Jiang,

et al. 2023

Preprint

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Peripheral Nerve Blocks in the Preoperative Management of Hip Fractures: A Systematic Review and Network Meta-Analysis

Hayashi,

Yamamoto,

Kuroda

et al. 2024

Annals of Emergency Medicine

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Ultrasound-guided anterior iliopsoas muscle space block compared with fascia iliaca compartment block in elderly hip surgery: A randomized controlled trial

Niyonkuru,

Zeng,

Zhang

et al. 2024

Medicine

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Background: Elderly hip fracture patients experience severe pain. Surgical stress and pain during position changes for spinal anesthesia puncture can adversely affect hemodynamics. The objective of this study was to compare the perioperative analgesic efficacy of anterior iliopsoas muscle space block with supra-inguinal fascia iliaca compartment block (S-FICB) in elderly patients undergoing hip surgery. Method: In this randomized control trial, 66 patients were randomly assigned to either the iliopsoas space or the S-FICB group. Each patient received 30 mL of ropivacaine 0.375%. Perioperative pain scores were assessed and compared in both groups. The primary outcome was pain scores during changes in position for neuraxial anesthesia. Secondary outcomes included postoperative pain intensity, inflammatory markers for 12 to 24 hours, and perioperative adverse reactions. Results: The iliopsoas space group demonstrated a faster median block onset of 7 [6–8] minutes compared to S-FICB 14.50 [13–16] minutes (P < .001). Neuraxial anesthesia position changes resulted in lower pain scores for iliopsoas 2 [1–2] versus S-FICB 3 [3–4] (P < .001). Resting pain scores were similar at 12 hours post-surgery, but during exercise, the iliopsoas group had significantly lower scores [1–2] compared to S-FICB 4 [2–4] (P < .001). After 24 hours, C-RP levels were lower in the iliopsoas group (14.86 ± 1.23 mg/L) than S-FICB (17.90 ± 1.25 mg/L) (P < .001). The 2 groups differed from one another (P < .001). These findings suggest that iliopsoas space block may offer faster, superior dynamic pain control, and potentially reduced inflammation compared to FICB block for postoperative pain management. Conclusion: In elderly hip fracture patients, the anterior iliopsoas space block works slightly better than S-FICB at providing effective perioperative analgesia.

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Effect of perioperative ultrasound guided fascia iliaca compartment block in elderly adults with hip fractures undergoing arthroplasty in spinal anesthesia—a randomized controlled trial

Cited by 9 publications

References 21 publications

Perioperative efficacy and safety of nerve blocks in elderly patients undergoing hip surgery:A single-centre randomized trial

Perioperative efficacy and safety of nerve blocks in elderly patients undergoing hip surgery:A single-centre randomized trial

Peripheral Nerve Blocks in the Preoperative Management of Hip Fractures: A Systematic Review and Network Meta-Analysis

Ultrasound-guided anterior iliopsoas muscle space block compared with fascia iliaca compartment block in elderly hip surgery: A randomized controlled trial

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