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Published on: September 7, 2022
Iliac Fascia Compartment Block and Analgesic Consumption in Patients Operated on for Hip Fracture
Mateusz Klukowski1, Rafał Kowalczyk1, Grzegorz Górniewski2
1Warszawski Uniwersytet Medyczny I Klinika Anestezjologii i Intensywnej Terapii.
Background:
Fractures of the proximal femur in elderly patients are a challenge for orthopedics, anesthe-sio-logy and geriatrics. Early mobilization reduces postoperative mortality among these patients. Effective anal-gesia is necessary to achieve this goal.
Material And Methods:
A retrospective analysis of perioperative medical records of 78. patients undergoing surgical treatment of proximal femur fractures was performed. Group 1 (n=35)consisted of patients who were treated with pharmacologic analgesia only (systemic analgesics) and Group 2 (n=43) involved patients who re-ceived a preoperative fascia iliaca compartment block (FICB) and pharmacologic analgesia. FICB was per-formed under ultrasound guidance, and systemic analgesics were administered according to a standardized pro-to-col. Demographics, anesthesia and operation data as well as the dosage of analgesics used on postoperative day 0 were collected for the study.
Results:
Patients with antecedent iliac fascia blockade required fewer analgesic interventions (3 vs. 11, p <0.0001) and showed significantly less need for analgesics than non-block patients. No complications were observed after performing FICB.
Conclusion:
The iliac fascia compartment block produces effective postoperative analgesia and reduces postoperative opioid consumption.
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