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Comparison of the suprainguinal fascia iliaca compartment block with continuous epidural analgesia in patients undergoing hip surgeries: a retrospective study
Pain control is one of the major concerns after major hip surgeries. Suprainguinal fascia iliaca compartment block (S-FICB) is an alternative analgesic technique that can be considered as an effective and less invasive method than epidural analgesia (EA). In this retrospective study, we compared pos...
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Published in: | Brazilian Journal of Anesthesiology 2022-05, Vol.72 (3), p.342-349 |
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description | Pain control is one of the major concerns after major hip surgeries. Suprainguinal fascia iliaca compartment block (S-FICB) is an alternative analgesic technique that can be considered as an effective and less invasive method than epidural analgesia (EA). In this retrospective study, we compared postoperative analgesic efficacy of single shot ultrasound guided S-FICB and EA after major hip surgery.
We retrospectively examined 150 patients who underwent major hip surgeries and who received S-FICB or EA. Seventy-two patients submitted to EA and 78 patients who received S-FICB were included and their medical records retrospectively reviewed. Morphine consumptions, VAS scores, and side effects were recorded. Patients under antiplatelet or anticoagulant theraphy were also registered. Morphine consumption and VAS scores were the primary endpoints, succes rate and complications were the secondary endpoints of our study. P-values less than 0.05 were considered statistically significant.
Morphine consumption was lower at the emergence in the EA group but there was no statistically significant difference between the two groups according to total opioid consumption (0 [0-0] vs 0 [0-0]; p = 0.52). There was no difference between VAS scores in the first 18 hours. Hypotension was significantly higher in the EA group (9 vs 21; p = 0.04).
In conclusion, S-FICB can provide comparable analgesia with EA in the early postoperative period after hip surgery but VAS scores were found lower in the EA group than S-FICB group after 18th hour. Hypotension has occured more frequently in patients receiving EA. |
doi_str_mv | 10.1016/j.bjane.2021.07.006 |
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We retrospectively examined 150 patients who underwent major hip surgeries and who received S-FICB or EA. Seventy-two patients submitted to EA and 78 patients who received S-FICB were included and their medical records retrospectively reviewed. Morphine consumptions, VAS scores, and side effects were recorded. Patients under antiplatelet or anticoagulant theraphy were also registered. Morphine consumption and VAS scores were the primary endpoints, succes rate and complications were the secondary endpoints of our study. P-values less than 0.05 were considered statistically significant.
Morphine consumption was lower at the emergence in the EA group but there was no statistically significant difference between the two groups according to total opioid consumption (0 [0-0] vs 0 [0-0]; p = 0.52). There was no difference between VAS scores in the first 18 hours. Hypotension was significantly higher in the EA group (9 vs 21; p = 0.04).
In conclusion, S-FICB can provide comparable analgesia with EA in the early postoperative period after hip surgery but VAS scores were found lower in the EA group than S-FICB group after 18th hour. Hypotension has occured more frequently in patients receiving EA.</description><identifier>ISSN: 0104-0014</identifier><identifier>ISSN: 2352-2291</identifier><identifier>EISSN: 0104-0014</identifier><identifier>EISSN: 2352-2291</identifier><identifier>DOI: 10.1016/j.bjane.2021.07.006</identifier><identifier>PMID: 34324929</identifier><language>eng</language><publisher>Brazil: Elsevier Editora Ltda</publisher><subject>ANESTHESIOLOGY ; Epidural analgesia ; Hip arthroplasty ; MEDICINE, GENERAL & INTERNAL ; Nerve blocks ; Original Investigation</subject><ispartof>Brazilian Journal of Anesthesiology, 2022-05, Vol.72 (3), p.342-349</ispartof><rights>2021 Sociedade Brasileira de Anestesiologia</rights><rights>Copyright © 2021 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.</rights><rights>2021 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. 2021 Sociedade Brasileira de Anestesiologia</rights><rights>This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c564t-f89347ccb3f29a821a8ce7ecb24427dd1a06ed46b92bd20c83949881d50400313</citedby><cites>FETCH-LOGICAL-c564t-f89347ccb3f29a821a8ce7ecb24427dd1a06ed46b92bd20c83949881d50400313</cites><orcidid>0000-0002-8266-5203</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373494/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0104001421002876$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,3549,24150,27924,27925,45780,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34324929$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Azizoğlu, Mustafa</creatorcontrib><creatorcontrib>Rumeli, Şebnem</creatorcontrib><title>Comparison of the suprainguinal fascia iliaca compartment block with continuous epidural analgesia in patients undergoing hip surgeries: a retrospective study</title><title>Brazilian Journal of Anesthesiology</title><addtitle>Braz J Anesthesiol</addtitle><description>Pain control is one of the major concerns after major hip surgeries. Suprainguinal fascia iliaca compartment block (S-FICB) is an alternative analgesic technique that can be considered as an effective and less invasive method than epidural analgesia (EA). In this retrospective study, we compared postoperative analgesic efficacy of single shot ultrasound guided S-FICB and EA after major hip surgery.
We retrospectively examined 150 patients who underwent major hip surgeries and who received S-FICB or EA. Seventy-two patients submitted to EA and 78 patients who received S-FICB were included and their medical records retrospectively reviewed. Morphine consumptions, VAS scores, and side effects were recorded. Patients under antiplatelet or anticoagulant theraphy were also registered. Morphine consumption and VAS scores were the primary endpoints, succes rate and complications were the secondary endpoints of our study. P-values less than 0.05 were considered statistically significant.
Morphine consumption was lower at the emergence in the EA group but there was no statistically significant difference between the two groups according to total opioid consumption (0 [0-0] vs 0 [0-0]; p = 0.52). There was no difference between VAS scores in the first 18 hours. Hypotension was significantly higher in the EA group (9 vs 21; p = 0.04).
In conclusion, S-FICB can provide comparable analgesia with EA in the early postoperative period after hip surgery but VAS scores were found lower in the EA group than S-FICB group after 18th hour. Hypotension has occured more frequently in patients receiving EA.</description><subject>ANESTHESIOLOGY</subject><subject>Epidural analgesia</subject><subject>Hip arthroplasty</subject><subject>MEDICINE, GENERAL & INTERNAL</subject><subject>Nerve blocks</subject><subject>Original Investigation</subject><issn>0104-0014</issn><issn>2352-2291</issn><issn>0104-0014</issn><issn>2352-2291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp9Ul2L1DAULaK4y7q_QJA8-jL15qMfERRk8GNhwQf1OaTpbSe109SkXdk_42_1zsy67L4IgYTknHNvzj1Z9pJDzoGXb4a8GeyEuQDBc6hygPJJdg4c1AaAq6cPzmfZZUoD0JFLLQU8z86kkkJpoc-zP9uwn230KUwsdGzZIUvrHK2f-tVPdmSdTc5b5kdvnWXuiF72OC2sGYP7yX77ZUfX0-KnNayJ4ezbNRLRErvHdOBObLaLJ05i69Ri7APJs52fqVbsMXpMb5llEZcY0oxu8TfUxrK2ty-yZ50dE17e7RfZj08fv2-_bK6_fr7afrjeuKJUy6artVSVc43shLa14LZ2WKFrhFKialtuocRWlY0WTSvA1VIrXde8LUABSC4vsquTbhvsYObo9zbemmC9OV6E2Bv6tncjmo4TUWteOCDxAixCXRVWNRKqquRIWvlJi4zDMZghrJG8SOabkIUwQmhOUxM0EElLCSK8PxHmtdlj68goMvBRF49fJr8zfbgxWlZSaUUCr-8EYvi1YlrM3ieH40gJoZkYURSVEHVdHaDyBHVkdYrY3ZfhYA7JMoM5JssckmWgMpQsYr162OE951-OCPDuBEAa0o3HaA6fnxy2PtI8yUX_3wJ_Aa4l4UM</recordid><startdate>20220501</startdate><enddate>20220501</enddate><creator>Azizoğlu, Mustafa</creator><creator>Rumeli, Şebnem</creator><general>Elsevier Editora Ltda</general><general>Elsevier</general><general>Sociedade Brasileira de Anestesiologia (SBA)</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>GPN</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-8266-5203</orcidid></search><sort><creationdate>20220501</creationdate><title>Comparison of the suprainguinal fascia iliaca compartment block with continuous epidural analgesia in patients undergoing hip surgeries: a retrospective study</title><author>Azizoğlu, Mustafa ; Rumeli, Şebnem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c564t-f89347ccb3f29a821a8ce7ecb24427dd1a06ed46b92bd20c83949881d50400313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>ANESTHESIOLOGY</topic><topic>Epidural analgesia</topic><topic>Hip arthroplasty</topic><topic>MEDICINE, GENERAL & INTERNAL</topic><topic>Nerve blocks</topic><topic>Original Investigation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Azizoğlu, Mustafa</creatorcontrib><creatorcontrib>Rumeli, Şebnem</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SciELO</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Brazilian Journal of Anesthesiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Azizoğlu, Mustafa</au><au>Rumeli, Şebnem</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of the suprainguinal fascia iliaca compartment block with continuous epidural analgesia in patients undergoing hip surgeries: a retrospective study</atitle><jtitle>Brazilian Journal of Anesthesiology</jtitle><addtitle>Braz J Anesthesiol</addtitle><date>2022-05-01</date><risdate>2022</risdate><volume>72</volume><issue>3</issue><spage>342</spage><epage>349</epage><pages>342-349</pages><issn>0104-0014</issn><issn>2352-2291</issn><eissn>0104-0014</eissn><eissn>2352-2291</eissn><abstract>Pain control is one of the major concerns after major hip surgeries. Suprainguinal fascia iliaca compartment block (S-FICB) is an alternative analgesic technique that can be considered as an effective and less invasive method than epidural analgesia (EA). In this retrospective study, we compared postoperative analgesic efficacy of single shot ultrasound guided S-FICB and EA after major hip surgery.
We retrospectively examined 150 patients who underwent major hip surgeries and who received S-FICB or EA. Seventy-two patients submitted to EA and 78 patients who received S-FICB were included and their medical records retrospectively reviewed. Morphine consumptions, VAS scores, and side effects were recorded. Patients under antiplatelet or anticoagulant theraphy were also registered. Morphine consumption and VAS scores were the primary endpoints, succes rate and complications were the secondary endpoints of our study. P-values less than 0.05 were considered statistically significant.
Morphine consumption was lower at the emergence in the EA group but there was no statistically significant difference between the two groups according to total opioid consumption (0 [0-0] vs 0 [0-0]; p = 0.52). There was no difference between VAS scores in the first 18 hours. Hypotension was significantly higher in the EA group (9 vs 21; p = 0.04).
In conclusion, S-FICB can provide comparable analgesia with EA in the early postoperative period after hip surgery but VAS scores were found lower in the EA group than S-FICB group after 18th hour. Hypotension has occured more frequently in patients receiving EA.</abstract><cop>Brazil</cop><pub>Elsevier Editora Ltda</pub><pmid>34324929</pmid><doi>10.1016/j.bjane.2021.07.006</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8266-5203</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | ANESTHESIOLOGY Epidural analgesia Hip arthroplasty MEDICINE, GENERAL & INTERNAL Nerve blocks Original Investigation |
title | Comparison of the suprainguinal fascia iliaca compartment block with continuous epidural analgesia in patients undergoing hip surgeries: a retrospective study |
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