Patient-controlled fascia iliaca compartment block versus fentanyl patient-controlled intravenous analgesia in patients undergoing femur fracture surgery

Mostafa, Shaimaa F.; Eid, Gehan M.; El-Kalla, Rehab S

doi:10.1016/j.egja.2017.12.002

Cited by 14 publications

(15 citation statements)

References 27 publications

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“…McGraw-Tatum et al [24] identified that FICB required less overall total opioids than the control group. And FICB is a relatively safe anesthesia technique as the needle point is away from the femoral nerve, femoral artery, and femoral vein [25].…”

Section: Discussionmentioning

confidence: 99%

The efficacy of fascia iliaca compartment block for pain control after total hip arthroplasty: a meta-analysis

Zhang

2019

J Orthop Surg Res

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PurposeFascia iliaca compartment block (FICB) provides an analgesic option for total hip arthroplasty (THA) patients. The evidence supporting FICB is still not well established. The purpose of this meta-analysis was to assess FICB for pain control in THA patients.MethodsPubMed, Embase, Cochrane Library, and Chinese Wanfang database were interrogated from their inceptions to December 15, 2018. We included randomized controlled studies reported as full text, those published as abstracts only, and unpublished data, if available. Data were independently extracted by two reviewers and synthesized using a random-effects model or fixed-effects model according to the heterogeneity.ResultsA total of eight RCTs were finally included for meta-analysis. Compared with placebo, FICB could significantly reduce VAS pain scores at 1–8 h (WMD = − 0.78, 95% CI [− 1.01, − 0.56], P = 0.000), 12 h (WMD = − 0.69, 95% CI [− 1.22, − 0.16], P = 0.011), and 24 h (WMD = − 0.46, 95% CI [− 0.89, − 0.02], P = 0.039). Compared with the control group, FICB could significantly decrease the occurrence of nausea and length of hospital stay (P < 0.05). There was no significant difference between the VAS pain score at 48 h and risk of fall between the FICB and the control groups (P > 0.05).ConclusionsFICB could be used to effectively reduce pain intensity up to 24 h, total morphine consumption, and length of hospital stay in THA patients. Optimal strategies of FICB need to be studied in the future.Electronic supplementary materialThe online version of this article (10.1186/s13018-018-1053-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

The efficacy of fascia iliaca compartment block for pain control after total hip arthroplasty: a meta-analysis

Zhang

2019

J Orthop Surg Res

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“…A 2016 prospective RCT [ 42 ] evaluated the efficacy of FICB after hemiarthroplasty, and outcomes revealed a significant opioid-sparing effect in the first 24 h after surgery with FICB supplement. Later in 2018, an RCT [ 43 ] compared the effect of patient-controlled FICB with patient-controlled intravenous fentanyl (PC-IVF) for pain management after surgery. Outcomes showed satisfactory efficacy following FICB with decreased additional analgesia use and side effects.…”

Section: Discussionmentioning

confidence: 99%

Fascia Iliaca Compartment Block for Perioperative Pain Management of Geriatric Patients with Hip Fractures: A Systematic Review of Randomized Controlled Trials

Wan

et al. 2020

Pain Research and Management

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Background. With continuous increase of the aging population, the number of geriatric patients with fragility hip fractures is rising sharply, and timely surgery remains the mainstay of treatment. However, adequate and effective pain control is the precondition of satisfactory efficacy. This systematic review aimed to summarize the use of fascia iliaca compartment block (FICB) as an analgesic strategy for perioperative pain management in geriatric patients with hip fractures. Methods. PubMed and Embase databases were searched for English published randomized controlled trials (RCTs) reporting application of FICB for pain control of the older adults with hip fractures between January 1st, 2000, and May 31st, 2020. The modified Jadad scale was used to evaluate quality of the RCTs included. Primary outcomes of the eligible RCTs were presented and discussed. Results. A total of 27 RCTs with 2478 cases were included finally. The present outcomes suggested, after admission or in the emergency department (ED), FICB can provide patients with equal or even better pain relief compared with the conventional analgesia methods, which can also reduce additional analgesic consumptions. While, before positioning for spinal anesthesia (SA), FICB is able to offer superior pain control, facilitating SA performance, after surgery FICB can effectively alleviate pain with decreased use of additional analgesics, promoting earlier mobilization and preventing complications. Conclusions. FICB is a safe, reliable, and easy-to-conduct technique, which is able to provide adequate pain relief during perioperative management of geriatric patients with hip fractures.

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“…Different local anaesthetic agents were compared in different concentrations [55,56] Two RCTs were done on hip surgery [57,62] and two were on generalized lower limb procedures [58,60]. Lumbar plexus block, lumbar epidural, fascia iliaca compartment block and intravenous narcotics were compared.…”

Section: Methodsmentioning

confidence: 99%

Post-operative pain management modalities employed in clinical trials for adult patients in LMIC; a systematic review

Afshan

Khan²,

Ahmed³

et al. 2020

Preprint

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Background: Unrelieved postoperative pain afflicts millions each year in low and middle income countries (LMIC). Despite substantial advances in the study of pain, this area remains neglected. Current systematic review was designed to ascertain the types of clinical trials conducted in LMIC on postoperative pain management modalities over the last decade. Methods: A comprehensive search was performed in June 2019 on PubMed, Cochrane Library, CINAHL Plus, and Web of Science databases to identify relevant trials on the management of postoperative pain in LMIC. Out of 1450 RCTs, 108 studies were reviewed for quality evidence using structured form of critical appraisal skill program. Total of 51 clinical trials were included after applying inclusion/exclusion criteria. Results:Results are charted according to the type of surgery. Eleven trials on laparoscopic cholecystectomy used multimodal analgesia including some form of regional analgesia. Different analgesic modalities were studied in 4 trials on thoracotomy, but none used multimodal approach. In 11 trials on laparotomy, multimodal analgesia was employed along with the studied modalities. In 2 trials on hysterectomy, preemptive pregabalin or gabapentin were used for reduction in rescue analgesia. In 13 trials on breast surgical procedures and 10 on orthopaedic surgery, multimodal analgesia was used with some form of regional analgesia. Conclusion: We found that over the past 10 years, clinical trials for postoperative pain modalities have evolved in LMIC according to the current postoperative pain management guidelines i.e. multi-modal approach with some form of regional analgesia. The current review shows that clinical trials were conducted using multimodal analgesia including but not limited to some form of regional analgesia for postoperative pain in LMIC however this research snapshot (of only three countries) may not exactly reflect the clinical practices in all 47 countries. Post Operative Pain Management Modalities Employed in Clinical Trials for Adult Patients in LMIC; A Systematic Review

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Patient-controlled fascia iliaca compartment block versus fentanyl patient-controlled intravenous analgesia in patients undergoing femur fracture surgery

Cited by 14 publications

References 27 publications

The efficacy of fascia iliaca compartment block for pain control after total hip arthroplasty: a meta-analysis

The efficacy of fascia iliaca compartment block for pain control after total hip arthroplasty: a meta-analysis

Fascia Iliaca Compartment Block for Perioperative Pain Management of Geriatric Patients with Hip Fractures: A Systematic Review of Randomized Controlled Trials

Post-operative pain management modalities employed in clinical trials for adult patients in LMIC; a systematic review

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