Evaluation of Postoperative Analgesic Efficacy of Ultrasound-Guided Suprainguinal Fascia Iliaca Block in Knee Arthroplasty: Prospective, Randomized, Feasibility Study

被引:7
作者
Kefeli celik, Hale [1 ]
Tulgar, Serkan [1 ]
Gueler, Serkan [1 ]
Koc, Kadem [1 ]
Kuecuekordulu, Buesra Burcu [1 ]
Ferli, Ramazan Burak [1 ]
Kehribar, Lokman [2 ]
Genc, Ahmet Serhat [2 ]
Sueren, Mustafa [1 ]
机构
[1] Samsun Educ & Res Hosp, Dept Anesthesiol & Reanimat, Baris Bulvari 199, TR-55090 Samsun, Turkiye
[2] Samsun Educ & Res Hosp, Dept Orthoped & Traumatol, Baris Bulvari 199, TR-55090 Samsun, Turkiye
关键词
analgesia; arthroplasty; knee; nerve block; pain; regional; ADDUCTOR CANAL BLOCK; FEMORAL NERVE BLOCK; COMPARTMENT BLOCK; PAIN MANAGEMENT; TOTAL HIP; INFILTRATION;
D O I
10.3390/jcm12186076
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Total Knee Arthroplasty (TKA) is one of the most commonly performed orthopedic procedures, and patients complain of severe pain in the postoperative period. The supra-inguinal fascia iliaca block (SIFIB) works as an anteriorly applied lumbar plexus block and is frequently used in hip surgeries. In this study, we evaluated the effect of SIFIB in patients undergoing TKA under spinal anesthesia. Methods: This study is a prospective, randomized, assessor-blinded feasibility study conducted in a tertiary hospital. Eighty-six patients with ASA I-III were initially enrolled, and after exclusions, 80 patients were randomized into two equal groups (SIFIB and control groups). The standard multimodal analgesia was applied to the control group, while SIFIB was additionally applied to the block group. The study measured the morphine requirement in PCA and pain intensity using Numeric Rating Scores between the two groups. Results: the 24-h cumulative morphine consumption was lower in Group SIFIB. Although there was a decrease in NRS at rest scores in the SIFIB group during some time periods, pain was moderate, and no differences in pain scores were recorded during exercise in all patients. Conclusions: In patients undergoing TKA under spinal anesthesia, a single shot of SIFIB results in a significant reduction in the amount of morphine consumed in hours. This effect was most likely related to a decrease in pain at rest in the SIFIF group.
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页数:9
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