USG guided femoral nerve block vs fascia iliaca compartment block as post-operative analgesia in hip fracture patients

Background: Adequate postoperative analgesia facilitates early mobilization which is important to reduce postoperative morbidity. Here, we intended to compare the efficacy of two different nerve blocks for postoperative pain relief in fractured neck of femur patients.Methods: One hundred and five patients posted either for dynamic hip screw or proximal femoral nail implantation under spinal anaesthesia were randomly allocated to three groups. At the end of surgery, group 1 received femoral nerve block (FNB) and group 2 received fascia iliaca compartment block (FICB) for postoperative pain relief. These blocks were ultrasound guided. Group 3 received no block and acted as control. Patients’ pain was evaluated by Visual Analogue Scale (VAS) both at rest and at passive elevation of leg. Rescue analgesia was given when VAS score exceeded 3. Heart rate, mean arterial blood pressure, respiratory rate and total analgesic consumption in first 24 hours were also recorded.Results: Groups 1 and 2 had similar duration of analgesia of around 8 hours (P value = 0.727). Analgesic consumption in both these groups were similar (P value = 0.648). These groups had less pain, less analgesic requirement and more stable haemodynamics as compared to group 3. No adverse effect was seen due to application of block.Conclusions: FICB can be an effective alternative to femoral nerve block, because of its relative simplicity in technique and less invasiveness. Hence FICB holds considerable promise as an effective postoperative analgesia.

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Intercostal Nerve Block and Peritubal Infiltration with Bupivacaine for Postoperative Analgesia after Percutaneous Nephrolithotomy: A Randomised Clinical Study

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2021/49105.14828 ◽

2021 ◽

Author(s):

Karunakaran Binil ◽

Kaniyil Suvarna ◽

Kannammadathy Poulose Biji

Keyword(s):

Postoperative Pain ◽

Nerve Block ◽

Percutaneous Nephrolithotomy ◽

Postoperative Analgesia ◽

Intercostal Nerve ◽

Categorical Variables ◽

P Value ◽

Intercostal Nerve Block ◽

Analgesic Consumption ◽

Pain Scores

Introduction: Percutaneous Nephrolithotomy (PCNL), a common endourologic procedure for removal of renal stones is associated with significant pain. Regional blocks are being used for postoperative analgesia after PCNL. Aim: To compare the analgesic efficacy of intercostal nerve block and fluoroscopic guided peritubal infiltration in terms of duration of analgesia, postoperative pain scores and total analgesic consumption in first 24 hours. Materials and Methods: This was a randomised clinical trial conducted from May 2018 to October 2018 on total of eighty patients, randomly allocated to two groups of 40 each. Group IC received intercostal nerve block and group IF received fluoroscopy guided peritubal infiltration with 0.25% bupivacaine. Duration of analgesia was assessed from postoperative pain scores (Numerical Rating Scale (NRS) during rest and coughing). Total analgesic consumption for 24 hours was also noted. Data was analysed using Chi-square test for categorical variables and independent Student’s t-test for quantitative variables. Results: The duration of analgesia was 702.00±140.022 minutes in Group IC and 346.50±129.566 minutes in group IF which was significant statistically with a p-value of <0.001. Resting and dynamic NRS were lower upto 12 hours postoperatively in group IC (p-value less than 0.05). Both tramadol (50.00±11.32 mg vs 82.50±24.15 mg) and paracetamol (100±303.82mg vs 850±622.23mg) requirements were lower in group IC as compared to group IF with p-values less than 0.001. Total consumption of first rescue analgesic tramadol as well as second analgesic Paracetamol both were significantly lesser(p-value<0.001) in group IC than group IF. Conclusion: Intercostal Nerve Block (INB) provided superior analgesia compared to fluoroscopic guided peritubal infiltration after PCNL.

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Continuous Femoral Nerve Block Versus Fascia Iliaca Compartment Block as Postoperative Analgesia in Patients with Hip Fracture

PRILOZI ◽

10.2478/prilozi-2014-0011 ◽

2014 ◽

Vol 35 (2) ◽

pp. 85-93 ◽

Cited By ~ 6

Author(s):

Marina Temelkovska-Stevanovska ◽

Vesna Durnev ◽

Marija Jovanovski-Srceva ◽

Maja Mojsova-Mijovska ◽

Sime Trpeski

Keyword(s):

Hip Fracture ◽

Side Effects ◽

Pain Relief ◽

Postoperative Analgesia ◽

Femoral Nerve Block ◽

Femoral Nerve ◽

Moderate Pain ◽

Continuous Femoral Nerve Block ◽

Leg Movement ◽

Fascia Iliaca Compartment Block

Abstract Introduction: Systemic postoperative analgesia is inefficient in most patients with hip fracture, which is the reason for pain, especially during leg movement. Peripheral and plexus nerve blocks are an efficient option for postoperative pain relief. The aim of this study was to compare the effect and duration of continuous FNB versus a single FIC block as a postoperative analgesia in patients with hip fracture. Methods: Sixty patients with hip fracture were included and were randomly assigned to two groups of 30 patients: FNB group – patients with continuous femoral nerve block; and FIC group –patients with a single fascia iliaca compartment block. In all patients, pain intensity was measured at rest and in passive leg movement by using VDS (0–4) at several intervals: 1, 2, 12, 24, 36 and 48 hours after intervention. The amount of supplemental analgesia was measured, together with the time when the patient needed it for the first time, as well as the side effects. Results: The values of VDS were significantly lower in patients with FNB block versus patients with FIC block in rest and movement at the 24-hour intervals (46.67% vs 0% felt moderate pain), after 36 hours (43.33% vs 0% felt moderate pain) and 48 hours after intervention (46.67% vs 3.33% felt moderate to severe pain) for p < 0.05. Patients with FNB block received a significantly lower amount of supplemental analgesia, 23.3% of the FNB group vs 50% of the FIC group (p < 0.05). Registered side effects were were nausea, dizziness and sedation, and they were statistically significantly more frequent in the FIC group (p < 0.05). Conclusion: Pain relief in the postoperative period was superior in the FNB group versus the FIC group at rest and in movement in patients with hip fracture.

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Comparison of intra-articular analgesia and femoral nerve block for postoperative pain relief in unilateral total knee arthroplasty: A randomized clinical study

Anesthesia Essays and Researches ◽

10.4103/aer.aer_56_20 ◽

2020 ◽

Vol 14 (2) ◽

pp. 321

Author(s):

Neeru Luthra ◽

Jony Garg ◽

Suneet Kathuria ◽

ParshotamLal Gautam ◽

Shikha Gupta

Keyword(s):

Total Knee Arthroplasty ◽

Clinical Study ◽

Postoperative Pain ◽

Pain Relief ◽

Nerve Block ◽

Knee Arthroplasty ◽

Femoral Nerve Block ◽

Femoral Nerve ◽

Randomized Clinical Study ◽

Total Knee

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Comparison of the post-operative pain relief provided by the administration of either a femoral nerve block or fascia iliaca compartment block at one of two different doses in patients undergoing surgery for hip fracture

http://isrctn.org/> ◽

10.1186/isrctn51569968 ◽

2012 ◽

Author(s):

Rajinder Mirakhur

Keyword(s):

Hip Fracture ◽

Pain Relief ◽

Nerve Block ◽

Femoral Nerve Block ◽

Femoral Nerve ◽

Post Operative Pain ◽

Fascia Iliaca Compartment Block ◽

Different Doses

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Postoperative pain relief using ultrasound guided femoral nerve block versus caudal block following front thigh surgery in infants and young children

European Journal of Anaesthesiology ◽

10.1097/00003643-201106001-00496 ◽

2011 ◽

Vol 28 ◽

pp. 155 ◽

Cited By ~ 1

Author(s):

S. Micic ◽

Usljebrka H. Komen ◽

M. Horvat ◽

Grabar N. Poldan

Keyword(s):

Postoperative Pain ◽

Pain Relief ◽

Young Children ◽

Nerve Block ◽

Femoral Nerve Block ◽

Femoral Nerve ◽

Postoperative Pain Relief ◽

Caudal Block ◽

Ultrasound Guided ◽

Infants And Young Children

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Comparison of Continuous Epidural Blockade and Continuous Femoral Nerve Block on Postoperative Pain in Total Knee Replacement Surgeries: A Prospective Randomised Controlled Study

Academia Anesthesiologica International ◽

10.21276/aan.2020.5.1.14 ◽

2020 ◽

Vol 5 (1) ◽

pp. 67-73

Author(s):

K. Shanthini ◽

Nishkala Chandra Sekar ◽

Kusuma Mathai

Keyword(s):

Postoperative Pain ◽

Total Knee Replacement ◽

Nerve Block ◽

Knee Replacement ◽

Postoperative Analgesia ◽

Femoral Nerve Block ◽

Femoral Nerve ◽

Epidural Block ◽

Continuous Femoral Nerve Block ◽

Total Knee

Background: The use of epidural analgesia in the management of postoperative pain following orthopedic surgeries has evolved as a critical component of a multimodal approach to achieve the goal of pain relief, early mobilization, and improved compliance with physiotherapy resulting in overall improved outcomes. Aim: The aim of this study is to compare continuous femoral nerve block with continuous epidural block technique for postoperative analgesia in patients undergoing elective total knee replacement surgery.Subjects and Methods:The patients belonging to the ASA I to III scheduled for various knee surgeries under spinal anesthesia were enrolled in this study. They were randomly divided into two equal groups of thirty-three patients each. The Group F patients received continuous femoral nerve blockade and in the Group E patients continuous epidural blocked preoperatively.Results:The analgesic efficacy of both continuous femoral nerve block and continuous epidural nerve block was equal as measured by the visual analogue scores. The incidence of Hypotension was more in the Epidural group. The adverse effects due to the Continuous Femoral Nerve block were lower in comparison with the Continuous Epidural block technique.Conclusion:Continuous femoral nerve blockade provides postoperative analgesia equivalent to that obtained with a continuous epidural blocked but with lesser side effects.

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Effect of Single-injection Femoral Nerve Block Using Real-time Ultrasound on the Postoperative Pain after Bilateral Total Knee Arthroplasty: 0.25% vs 0.5% Levobupivacaine

The Korean Journal of Pain ◽

10.3344/kjp.2009.22.3.234 ◽

2009 ◽

Vol 22 (3) ◽

pp. 234 ◽

Cited By ~ 1

Author(s):

Yun Joo Kim ◽

Youn Jin Kim ◽

Dong Yeon Kim

Keyword(s):

Total Knee Arthroplasty ◽

Postoperative Pain ◽

Real Time ◽

Nerve Block ◽

Knee Arthroplasty ◽

Femoral Nerve Block ◽

Single Injection ◽

Femoral Nerve ◽

Bilateral Total Knee Arthroplasty ◽

Total Knee

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Femoral Nerve Block With 0.25% or 0.5% Bupivacaine Improves Postoperative Analgesia Following Outpatient Arthroscopic Anterior Cruciate Ligament Repair

Regional Anesthesia and Pain Medicine ◽

10.1097/00115550-200101000-00007 ◽

2001 ◽

Vol 26 (1) ◽

pp. 24-29 ◽

Cited By ~ 94

Author(s):

Michael F. Mulroy ◽

Kathleen L. Larkin ◽

Manbir S. Batra ◽

Peter S. Hodgson ◽

Brian D. Owens

Keyword(s):

Anterior Cruciate Ligament ◽

Nerve Block ◽

Postoperative Analgesia ◽

Femoral Nerve Block ◽

Cruciate Ligament ◽

Femoral Nerve ◽

Ligament Repair ◽

Anterior Cruciate Ligament Repair ◽

Anterior Cruciate

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Continuous Femoral Nerve Blockade versus Continuous Epidural Analgesia for Postoperative Pain Relief in Knee Surgeries

QJM ◽

10.1093/qjmed/hcab086.055 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Hala Gomaa Salama ◽

Ahmed Ali El- Shebiny ◽

Abd Al Aziz Abdullah Abd Al Aziz ◽

Mariam Mahmoud Ahmed Ali Shehata

Keyword(s):

Postoperative Pain ◽

Epidural Analgesia ◽

Nerve Block ◽

Femoral Nerve Block ◽

Weight Bearing ◽

Femoral Nerve ◽

Disease Process ◽

Continuous Epidural Analgesia ◽

Significant Difference ◽

Continuous Femoral Nerve Block

Abstract Background The progression of osteoarthritis is characteristically slow, occurring over several years or decades. Over this period, the patient can become less and less active and thus more susceptible to morbidities related to decreasing physical activity (including potential weight gain). Early in the disease process, the joints may appear normal. However, the patient’s gait may be antalgic if weight-bearing joints are involved. Objective Compare the benefits of continuous femoral nerve block (CFNB) with those of continuous epidural analgesia CEPA for postoperative pain management after Knee surgeries. Methods This study is a randomized controlled clinical trial was conducted in Ain Shams University Hospitals after obtaining approval from the Research Ethical Committee of Ain Shams University during a period of three months. Patients undergoing primary unilateral TKA for osteoarthritis, were recruited at least one day prior to the scheduled surgery, male and female patients. Results There was significant difference in terms of pain scoring between continuous femoral nerve block (CFNB) and continuous epidural analgesia (CEA) in the first 6 hours, 12 hours, 24 hours, 48 hours, 72 hours but non significant difference in incidence of side effects Conclusion Our study showed that CEA had optimal analgesia and pain control than CFNB in management of post operative pain after total knee replacement.

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