Effect of perioperative ultrasound guided fascia iliaca compartment block in elderly adults with hip fractures undergoing arthroplasty in spinal anesthesia—a randomized controlled trial

BMC Geriatrics

Research

Lei Yan¹  Yanyan Cao¹  Shuangmei Liu¹  Liang Chen¹  Yang Shen² 

[1] Department of Anesthesiology, Shengjing Hospital of China Medical University, No.36 Sanhao Street, Heping District, 110004, Shenyang, Liaoning Province, China;Department of Emergency Medicine, Shengjing Hospital of China Medical University, No.36 Sanhao Street, Heping District, 110004, Shenyang, Liaoning Province, China;

关键词: Hip fracture;    Hip arthroplasty;    Fascia iliaca compartment block;    Spinal anesthesia;    Elderly adults;   

DOI  :  10.1186/s12877-023-03786-5

 received in 2022-08-12, accepted in 2023-01-30,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundFor elderly adults undergoing hip arthroplasty, fascia iliaca compartment block (FICB) is often used before spinal anesthesia to reduce the pain of posture placement. However, the impact of FICB within 48 h needs further study.Methods89 elderly adults scheduled to undergo arthroplasty for hip fracture were enrolled and randomized into the FICB group (n = 45) and the control group (n = 44). The fascia iliaca on the operated side was located using ultrasound, and a puncture needle was placed under the fascia iliaca. The FICB group was injected with 40 ml of 0.5% ropivacaine, and the control group was injected with 40 ml of normal saline. Spinal anesthesia was performed after 20 min. Our primary outcome measures were: duration of analgesia, muscle strength, and Quality of Recovery (QoR).ResultsThe duration of analgesia in the FICB group was 403.5 ± 39.6 min, which was longer than that (357.5 ± 35.9 min) of the control group (P = 0.012). There were 19 (42.2%) patients with muscle strength of grade 4 in the FICB group and 36 (81.8%) patients with muscle strength of grade 4 in the control group. FICB group was lower (P < 0.001). QoR-15 at 24 h after surgery was 114.1 ± 8.3 in the FICB group and 104.6 ± 8.4 in the control group (P < 0.001). QoR-15 at 48 h after surgery was 122.7 ± 8.4 in the FICB group and 120.5 ± 9.5 in the control group (P = 0.232).ConclusionsFor elderly adults with hip fractures, FICB provided longer analgesia and improved 24-h QoR, but reduced postoperative muscle strength.Trail registrationChinese Clinical Registry Center, ChiCTR2200056937, 23/02/2022.

【 授权许可】

CC BY   
© The Author(s) 2023