Save
A MODIFIED FASCIA ILIACA COMPARTMENT BLOCK FOR ANALGESIA AFTER BIPOLAR HEMIARTHROPLASTY OF HIP
ESRA Academy. Bang S. Sep 8, 2016; 138366; 0204 Topic: Hip Surgery
Prof. Dr. Seunguk Bang
Prof. Dr. Seunguk Bang

Access to Premium content is currently a membership benefit.


Click here to join ESRA or renew your membership.

Abstract
Discussion Forum (0)
Rate & Comment (0)
Background and Aims:

There are few randomized trials to evaluate of efficacy of fascia iliaca compartment block (FICB) for analgesia after bipolar hemiarthroplasty (BPHA). The objective of this prospective and randomized study was evaluate the opioid-sparing effect of FICB.

Methods:

Twenty-two patients aged 70-90 years who underwent BPHA were recruited for this study. Patients were allocated randomly into two groups: FICB group (n=10) and NoFICB group (n=11). All the patients in both groups received spinal anesthesia. After surgery, the FICB was conducted using modified technique with 0.2% ropivacaine 40mL under ultrasound in the FICB group. In the recovery room the Intravenous patient-controlled analgesia (IV-PCA) was connected to the patients in both groups. The IV-PCA regimen was 20 µg/kg of fentanyl and 0.3 mg of ramosetron in normal saline 100 mL (no continuous infusion, bolus 0.5 µg/kg, 7-minute lockout interval, 4 µg/kg four hourly dose limit).

The visual analog score (VAS) and the amount of opioid consumption were noted at 2, 4, 8, 12, 18, 24, 32 and 48 hours postoperatively. Also total opioid consumption in the first 24hours and complications were evaluated.

Results:

The VAS was similar in the both groups. The opioid consumption at 4, 8 and 12 hours were less in the FICB group (P < 0.05). And total opioid consumption in the first 24 hours was significantly reduced in the FICB group (246.3±85.5 µg vs 351.4±87.5 µg, P = 0.01).

Conclusions:

A modified FICB under ultrasound significantly reduces postoperative opioid consumption after BPHA.

Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.



Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.


Save Settings