Lumbar Erector Spinae Plane Block vs. Infrainguinal Fascia Iliaca Compartment Block for Pain Management Following Total Hip Arthroplasty: A Randomized Clinical Trial

• Published in: Pain medicine (Malden, Mass.) Mass.), 2023-12
• Main Authors: Kaciroglu, Ahmet, Ekinci, Mursel, Dikici, Mustafa, Aydemir, Omer, Demiroluk, Oznur, Erdogan, Dilek, Golboyu, Birzat Emre, Alver, Selcuk, Ciftci, Bahadir, Gurbuz, Hande
• Format: Article
• Language: English
• ISSN: 1526-4637
• DOI: 10.1093/pm/pnad166

We aimed to evaluate the effectiveness of ultrasound-guided facia iliaca compartment (FIC) and erector spinae plane (ESP) blocks in managing postoperative pain following total hip arthroplasty surgery. A total of 60 patients were randomized into two groups (n = 30): FIC and ESP blocks were performed with 30 mL 0.25% bupivacaine at the end of the surgery. The patients received intravenous tramadol and patient-controlled postoperative analgesia. The pain scores, opioid consumption, and adverse events were recorded. The dynamic pain scores on movement in the postoperative 1st hour were significantly lower in the ESP block group than in the FIC block group [3(2-4) vs. 4(2-5), respectively; p = 0.035]. Postoperative opioid consumption within the first postoperative 8 hours was significantly higher in the FIC block group than the ESP block group [80 mg (61-100) vs. 100 mg (80-120), respectively; p = 0.010]. The adverse effects of opioids did not differ between the two groups. ESP and infrainguinal FIC blocks provided similar postoperative analgesia 24 hours after total hip arthroplasty. The ESP block is more beneficial than the FIC block in terms of pain scores and opioid consumption in the early hours of the postoperative period.