ESRA Academy. Bang S. Sep 8, 2016; 138366; 0204 Topic: Hip Surgery
Prof. Dr. Seunguk Bang
Prof. Dr. Seunguk Bang

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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.


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.


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).


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

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