Utilidad del bloqueo iliofascial continuo versus la analgesia epidural continua para la analgesia postoperatoria en artroplastia total de rodilla

Gallardo, Jorge; Contreras-Domínguez, Víctor; Begazo, Hugo; Chavez, Julio R.; Rodríguez, R.; Monardes, A.

doi:10.1016/s0034-9356(11)70124-4

Cited by 7 publications

(2 citation statements)

References 36 publications

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“…In a study by Gallardo et al, the postoperative analgesia from a fascia iliaca compartment block was compared to continuous epidural analgesia following knee arthroplasty [16]. The fascia iliaca group had a combination of spinal anesthesia plus a fascia iliaca compartment block with 0.1% bupivacaine at a rate of 10mL/h, whereas the epidural group patients were administered a combined spinal-epidural anesthesia plus epidural infusion with 0.1% bupivacaine in continuous infusion at a rate of 8 mL/h.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Efficacy of Postoperative Pain Relief in Ultrasound Guided Fascia Illiaca Compartment Block versus Epidural Block on Quality of Recovery (QOR-15) in Patients Undergoing Femoral Surgery

Mitra,

Singh,

Jain

et al. 2024

austinjanesthesiaandanalgesia

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Background: The occurrence of femoral fractures is quite high. The quality of life gets affected to a large extent due to pain and post-operative delirium. Various regional block techniques like Fascia illiaca compartment block, lumbar epidural analgesia, femoral nerve block, etc. have been described for femoral fractures. In this study, we compared the efficacy of post-operative pain relief FICB and Epidural block on quality of recovery (QOR-15) in patients undergoing femoral surgery. Methods: This study included 40 patients wherein 20 patients were given FICB and 20 patients were given Epidural block. The patients were followed up for post-operative pain relief, Quality of Recovery, occurrence of delirium, disability and fraility. Results: Quality of recovery QOR-15 was similar for both the groups preoperatively as well as at 24 hour and 48 hours post-operatively. Additionally, there was no difference in the time taken to administer the block, postoperative VAS score on movement and rest, requirement of additional analgesia and opioid consumption. Moreover, there were no significant differences in WHO disability assessment, modified frailty score, prevalence of delirium, mortality, morbidity and side effects of techniques. However, the total duration of hospital stay (in days) was found to be significantly more in the epidural group as compared with the FICB group (5.75±1.61 vs 4.75±1.16; P=0.38). Conclusion: Ultrasound guided fascia iliaca compartment block is a tangible alternative to epidural block in patients undergoing femoral fracture repair.

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Section: Discussionmentioning

confidence: 99%

Comparison of the Efficacy of Postoperative Pain Relief in Ultrasound Guided Fascia Illiaca Compartment Block versus Epidural Block on Quality of Recovery (QOR-15) in Patients Undergoing Femoral Surgery

Mitra,

Singh,

Jain

et al. 2024

austinjanesthesiaandanalgesia

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“…Many methods can provide effective postoperative analgesia for patients receiving LLS, including spinal morphine, 33 intravenous patient control analgesia, 34 intra-articular injection of LA or opioid, 35 femoral nerve block both single shot or continuous infusion via catheter, 36 ultrasound-guided FICB, 37 and oral analgesic medication (i.e., nonsteroidal anti-inflammatory drugs [NSAIDs], acetaminophen) as multimodal analgesia. 38 Among these, FICB is injected through the iliac fascia cavity, which is constructed with the fascia as prezone and the iliopsoas as posterior.…”

Section: Discussionmentioning

confidence: 99%

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

Yang¹,

Li²,

Chen³

et al. 2017

JPR

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BackgroundThe analgesic effect of fascia iliaca compartment block (FICB) versus no block (NB) after lower limb surgery (LLS) is still controversial, so we performed this meta-analysis.Materials and methodsBy searching the PubMed, Embase and the Cochrane Library (last update by July 20, 2017), randomized controlled trials comparing the analgesic effect of FICB versus NB in patients receiving LLS were identified. The primary outcome was the pain scores at 4, 12, and 24 h after LLS. The dosage of morphine at 24 h was also collected. The side effect of anesthesia was assessed according to the occurrence rate of postoperative nausea and vomiting.ResultsData from 7 clinical trials that included 508 patients were summarized. The results showed that patients receiving FICB had lower pain scores at 4 h (mean difference [MD]=−1.17; 95% CI=−2.30 to −0.05; P=0.041), 12 h (MD=−0.41; 95% CI=−0.76 to −0.05; P=0.026) and 24 h (MD=−0.96; 95% CI=−1.77 to −0.15; P=0.020) after LLS. Besides, FICB could reduce the dosage of morphine at 24 h (MD=−2.06; 95% CI=−3.82 to −0.30; P=0.022) and the incidence of postoperative nausea and vomiting (relative risk rate=0.44, 95% CI=0.24–0.80, P=0.008).ConclusionCompared with NB, FICB is an effective and safe method for alleviating the pain after LLS. More high-quality randomized controlled trials are needed to confirm this finding.

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Pain Management After Total Knee Arthroplasty

Zeh

2022

Basics in Primary Knee Arthroplasty

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Utilidad del bloqueo iliofascial continuo versus la analgesia epidural continua para la analgesia postoperatoria en artroplastia total de rodilla

Cited by 7 publications

References 36 publications

Comparison of the Efficacy of Postoperative Pain Relief in Ultrasound Guided Fascia Illiaca Compartment Block versus Epidural Block on Quality of Recovery (QOR-15) in Patients Undergoing Femoral Surgery

Comparison of the Efficacy of Postoperative Pain Relief in Ultrasound Guided Fascia Illiaca Compartment Block versus Epidural Block on Quality of Recovery (QOR-15) in Patients Undergoing Femoral Surgery

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

Pain Management After Total Knee Arthroplasty

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