Fascia iliaca block vs intravenous fentanyl as an analgesic technique before positioning for spinal anesthesia in patients undergoing surgery for femur fractures—a randomized trial

Pericapsular nerve group block for analgesia of positioning pain during spinal anesthesia in hip fracture patients, a randomized controlled study

“…However, severe pain, encountered during positioning for spinal anesthesia, can complicate the technique and worsen the patient experience. Different regional blocks were employed to facilitate patient positioning for spinal anesthesia including femoral nerve block (FNB), fascia iliaca compartment block (FICB), and lateral cutaneous nerve block (LCNB) [5][6][7][8].…”

Fascia iliaca compartment block versus no block for pain control after lower limb surgery: a meta-analysis

“…And FICB is a relatively safe anesthesia technique because the needle point is away from the femoral nerve, femoral artery, and femoral vein. 39 Nevertheless, FICB may also occasionally lead to complications such as hematoma, emphysema, bladder puncture, and nerve damage. Puncture site hematoma and retroperitoneal emphysema of the FICB were reported in few studies, but without any direct adverse effects.…”

Preoperative Pain Management of Patients with Hip Fractures: Blind Fascia Iliaca Compartment Block Compared to Ultrasound Guided Femoral Nerve Block—A Randomized Controlled Trial

“…Hip fracture is a common injury in the geriatric population, resulting in approximately 10,000 admissions per year in Denmark [1]. Patients with hip fractures often have a high comorbidity burden, including diabetes, renal dysfunction and dementia, and the mortality increases from 10% at one month to 30% after one year [2] [3] [4]. The high comorbidity burden and advanced age of the population increase the risk of general anesthesia in this population [3] [5].…”

“…Hip fractures are painful and sufficient preoperative pain management remains a challenge. Peripheral nerve blocks have been shown to be effective in reducing preoperative pain and decreasing systemic side effects compared to conventional oral and parenteral analgesia such as non-steroidal anti-inflammatory drugs (NSAIDs) and opioids [4] [6] [7].…”

“…Studies have shown that regional anesthesia, including neuraxial and peripheral nerve blocks, is associated with lower incidence of pulmonary complications, postoperative cognitive dysfunction and a shorter length of stay in the intensive care unit (ICU) in this population [4] [8] [9].…”