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Fascia iliaca compartment nerve block

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https://www.readbyqxmd.com/read/28288050/pain-management-modalities-after-total-knee-arthroplasty-a-network-meta-analysis-of-170-randomized-controlled-trials
#1
Abdullah Sulieman Terkawi, Dimitris Mavridis, Daniel I Sessler, Megan S Nunemaker, Khaled S Doais, Rayan Sulieman Terkawi, Yazzed Sulieman Terkawi, Maria Petropoulou, Edward C Nemergut
BACKGROUND: Optimal analgesia for total knee arthroplasty remains challenging. Many modalities have been used, including peripheral nerve block, periarticular infiltration, and epidural analgesia. However, the relative efficacy of various modalities remains unknown. The authors aimed to quantify and rank order the efficacy of available analgesic modalities for various clinically important outcomes. METHODS: The authors searched multiple databases, each from inception until July 15, 2016...
March 13, 2017: Anesthesiology
https://www.readbyqxmd.com/read/28263244/a-cadaveric-study-of-ultrasound-guided-subpectineal-injectate-spread-around-the-obturator-nerve-and-its-hip-articular-branches
#2
Thomas D Nielsen, Bernhard Moriggl, Kjeld Søballe, Jens A Kolsen-Petersen, Jens Børglum, Thomas Fichtner Bendtsen
BACKGROUND AND OBJECTIVES: The femoral and obturator nerves are assumed to account for the primary nociceptive innervation of the hip joint capsule. The fascia iliaca compartment block and the so-called 3-in-1-block have been used in patients with hip fracture based on a presumption that local anesthetic spreads to anesthetize both the femoral and the obturator nerves. Evidence demonstrates that this presumption is unfounded, and knowledge about the analgesic effect of obturator nerve blockade in hip fracture patients presurgically is thus nonexistent...
March 3, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28166067/ultrasound-guided-femoral-nerve-block-to-provide-analgesia-for-positioning-patients-with-femur-fracture-before-subarachnoid-block-comparison-with-intravenous-fentanyl
#3
S Ranjit, B B Pradhan
Background Positioning patients with fractured femur for subarachnoid block is painful. Intravenous analgesics or peripheral nerve block like femoral nerve block or fascia iliaca compartment block are some of the available techniques to reduce pain. We compared the efficacy of femoral nerve block and intravenous fentanyl in providing effective analgesia before positioning for subarachnoid block. Objective This study was designed to compare between ultrasound guided femoral nerve block with lignocaine and intravenous fentanyl in providing effective analgesia before positioning patient with femur fracture in sitting position for subarachnoid block...
April 2016: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/28125964/effect-of-admission-fascia-iliaca-compartment-blocks-on-post-operative-abbreviated-mental-test-scores-in-elderly-fractured-neck-of-femur-patients-a-retrospective-cohort-study
#4
Peter M Odor, Irina Chis Ster, Iain Wilkinson, Frederic Sage
BACKGROUND: Post-operative cognitive impairment is common in elderly patients following surgery for hip fracture, with undertreated pain being an important etiological factor. Non-opioid based analgesic techniques, such as nerve blocks, may help reduce the risk of cognitive complications. The aim of this study was to investigate whether receiving a fascia iliaca compartment block (FICB) as part of a pre-operative analgesic regime increased the odds of high post-operative abbreviated mental test scores (AMTS) when compared with conventional analgesia without a nerve block...
January 5, 2017: BMC Anesthesiology
https://www.readbyqxmd.com/read/28018749/focused-training-for-humanitarian-responders-in-regional-anesthesia-techniques-for-a-planned-randomized-controlled-trial-in-a-disaster-setting
#5
Adam R Aluisio, Carrei Teicher, Tess Wiskel, Allysia Guy, Adam Levine
BACKGROUND: Lower extremity trauma during earthquakes accounts for the largest burden of geophysical disaster-related injuries. Insufficient pain management is common in disaster settings, and regional anesthesia (RA) has the potential to reduce pain in injured patients beyond current standards. To date, no prospective research has evaluated the use of RA in a disaster setting. This cross-sectional study assesses knowledge translation and skill acquisition outcomes for lower extremity RA performed with and without ultrasound guidance among a cohort of Médecins Sans Frontières (MSF) volunteers who will function as proceduralists in a planned randomized controlled trial evaluating the efficacy of RA for pain management in an earthquake setting...
November 16, 2016: PLoS Currents
https://www.readbyqxmd.com/read/27943417/ultrasound-guided-suprainguinal-fascia-iliaca-technique-provides-benefit-as-an-analgesic-adjunct-for-patients-undergoing-total-hip-arthroplasty
#6
W Michael Bullock, Suraj M Yalamuri, Stephen H Gregory, David B Auyong, Stuart A Grant
Analgesia after total hip arthroplasty is often accomplished by the fascia iliaca compartment block, traditionally performed below the inguinal ligament, to anesthetize both femoral and lateral femoral cutaneous nerves. The course of the lateral femoral cutaneous nerve below the inguinal ligament is variable as opposed to consistent above the inguinal ligament in the pelvis. In this case series including 5 patients, we demonstrate that an ultrasound-guided suprainguinal fascia iliaca approach would consistently anesthetize the lateral femoral cutaneous nerve along with anterior cutaneous femoral nerve branches and provide cutaneous analgesia after total hip arthroplasty, as shown by decreased opioid consumption...
February 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27842565/regional-anesthesia-for-painful-injuries-after-disasters-rapid-study-protocol-for-a-randomized-controlled-trial
#7
Adam C Levine, Carrie Teicher, Adam R Aluisio, Tess Wiskel, Pola Valles, Miguel Trelles, Justin Glavis-Bloom, Rebecca F Grais
BACKGROUND: Lower extremity trauma during earthquakes accounts for the largest burden of disaster-related injuries. Insufficient pain management is common in resource-limited disaster settings, and regional anesthesia (RA) may reduce pain in injured patients beyond current standards of care. To date, no controlled trials have been conducted to evaluate the use of RA for pain management in a disaster setting. METHODS/DESIGN: The Regional Anesthesia for Painful Injuries after Disasters (RAPID) study aims to evaluate whether regional anesthesia (RA), either with or without ultrasound (US) guidance, can reduce pain from earthquake-related lower limb injuries in a disaster setting...
November 14, 2016: Trials
https://www.readbyqxmd.com/read/27759633/ultrasound-guided-continuous-femoral-nerve-block-vs-continuous-fascia-iliaca-compartment-block-for-hip-replacement-in-the-elderly-a-randomized-controlled-clinical-trial-consort
#8
RANDOMIZED CONTROLLED TRIAL
Bin Yu, Miao He, Guang-Yu Cai, Tian-Xiao Zou, Na Zhang
BACKGROUND: Continuous femoral nerve block and fascia iliaca compartment block are 2 traditional anesthesia methods in orthopedic surgeries, but it is controversial which method is better. The objective of this study was to compare the practicality, efficacy, and complications of the 2 modalities in hip replacement surgery in the elderly and to assess the utility of a novel cannula-over-needle set. METHODS: In this prospective, randomized controlled clinical investigation, 60 elderly patients undergoing hip replacement were randomly assigned to receive either continuous femoral nerve block or continuous fascia iliaca compartment block...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27630930/analgesic-efficacy-of-ultrasound-guided-ficb-in-patients-with-hip-fracture
#9
Devender Kumar, Sarla Hooda, Shashi Kiran, Jyoti Devi
INTRODUCTION: Hip fractures are often encountered in the elderly and present special problems to the anaesthesiologist. Fascia iliaca compartment block is another technique with the intent to block all the three nerves like 3-in-1 nerve block. AIM: To evaluate the analgesic efficacy of ultrasound guided fascia iliaca compartment block to facilitate positioning of patients with hip fracture for spinal anaesthesia. MATERIALS AND METHODS: This prospective study was conducted in 50 patients aged between 40-80 years, belonging to American Society of Anesthesiologists (ASA) physical status I-III undergoing surgery for hip fracture...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27609649/provision-of-fascia-iliaca-compartment-block-in-the-acute-management-of-proximal-femoral-fractures-a-national-observational-study-of-uk-hospitals
#10
George W Miller, Jenna J Godrey, Markus L Sagmeister, Thomas L Lewis
AIMS: Fascia iliaca compartment block (FICB) is a simple regional anaesthetic block that has been shown to be superior to other regional anaesthetic blocks with regards to success rate and analgesic efficacy in the acute management of proximal femoral fractures. The objective was to quantitatively assess the provision of FICB for patients with proximal femoral fractures in the UK. METHODS: A national observational study of all acute medical trusts in the UK (n=187) was conducted...
November 2016: Injury
https://www.readbyqxmd.com/read/27239308/improving-analgesia-in-fractured-neck-of-femur-with-a-standardised-fascia-iliaca-block-protocol
#11
Paul Watson, Szabolcs Rugonfalvi-Kiss
Fractured neck of femur (NOF) causes significant morbidity and pain for patients; adequate analgesia is an essential component of patient centred care. Patients experiencing greater pain during treatment for fractured NOF are slower to mobilise and have poorer health-related quality of life. NICE guidance suggests considering adding nerve blocks if paracetamol and opioids do not provide sufficient preoperative pain relief. We set out to audit pain levels in this group of patients in a small District General Hospital and to develop a protocol to improve analgesia provision if required...
2016: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/26710951/-a-comparison-of-two-approaches-to-ultrasound-guided-fascia-iliaca-compartment-block-for-analgesia-after-total-hip-arthroplasty
#12
RANDOMIZED CONTROLLED TRIAL
Ning Wang, Min Li, Yue Wei, Xiangyang Guo
OBJECTIVE: To compare the efficacy of two approaches to ultrasound-guided fascia iliaca compartment block (FICB) for postoperative analgesia after total hip arthroplasty (THA). METHODS: Approved by the Peking University Third Hospital ethics committee, Sixty patients undergoing selective total hip replacement in Peking Third Hospital during Oct. 2013 to May. 2014 were included. Before induction of general anethesia, ultrasound-guided FICB were administered. According to probe parallel to the inguinal ligament or perpendicular to the inguinal ligament, patients were randomly divided into the Parallel group and the Perpendicular group...
July 28, 2015: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/26643833/analgesia-before-performing-subarachnoid-block-in-the-sitting-position-in-patients-with-proximal-femoral-fracture-a-comparison-between-fascia-iliaca-block-and-femoral-nerve-block
#13
A Ghimire, B Bhattarai, S Koirala, A Subedi
BACKGROUND: Positioning for subarachnoid block (SAB) in patients with femoral fracture is painful and may remain suboptimal requiring use of large doses of opioids. These patients generally being elderly with multiple comorbidities and frailty are likely to have many undesirable effects of opioids including respiratory depression and confusion. OBJECTIVE: The objective was to compare the feasibility and effectiveness of fascia iliaca compartment block (FICB) and femoral nerve block (FNB) in reducing pain associated with positioning for subarachnoid block in patients undergoing proximal femoral fracture fixation procedures...
April 2015: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/26330019/regional-nerve-blocks-for-hip-and-femoral-neck-fractures-in-the-emergency-department-a-systematic-review
#14
REVIEW
Brandon Ritcey, Paul Pageau, Michael Y Woo, Jeffrey J Perry
OBJECTIVES: Hip and femoral neck fractures are common in elderly patients, who are at an increased risk of complications if their pain is suboptimally managed. This systematic review seeks to determine if regional nerve blocks reduce pain, reduce the need for parenteral opiates, and reduce complications, compared to standard pain management with opiates, acetaminophen, or NSAIDs. DATA SOURCES: Systematic review of MEDLINE, EMBASE, CINAHL, and the Cochrane Central Register of Controlled Trials found 401 articles, of which nine were selected for inclusion...
January 2016: CJEM
https://www.readbyqxmd.com/read/26277873/local-anesthetic-injection-deep-to-the-fascia-iliaca-at-the-level-of-the-inguinal-ligament-the-pattern-of-distribution-and-effects-on-the-obturator-nerve
#15
RANDOMIZED CONTROLLED TRIAL
Jeffrey D Swenson, Jennifer J Davis, Joshua O Stream, Julia R Crim, Robert T Burks, Patrick E Greis
STUDY OBJECTIVE: The femoral, lateral femoral cutaneous, and obturator nerves (ONs) can reportedly be blocked using a single-injection deep to the fascia iliaca (FI) at the level of the inguinal ligament. Two commonly used methods (the FI compartment and 3-in-1 blocks) have produced inconsistent results with respect to local anesthetic distribution and effect on the ON. To date, no study of either method has been performed using advanced imaging techniques to document both needle placement and local anesthetic distribution...
December 2015: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/26056546/efficacy-of-fascia-iliaca-compartment-nerve-block-as-part-of-multimodal-analgesia-after-surgery-for-femoral-bone-fracture
#16
Fentahun Tarekegn Kumie, Endale Gebreegziabher Gebremedhn, Hailu Yimer Tawuye
BACKGROUND: Fascia iliaca compartment nerve block (FICNB) has been an established technique for postoperative analgesia after surgery for femoral bone fracture. FICNB is technically easy, effective for postoperative pain control after operation for femoral bone fracture and decreases the complications induced by systemic analgesic drugs. The severity of postoperative pain is affected by genetics, cultural and social factors across the world. In this study we assessed the efficacy of fascia iliaca compartment nerve block when it is used as part of multimodal analgesia after surgery for femoral bone fracture...
2015: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25661312/paramedic-performed-fascia-iliaca-compartment-block-for-femoral-fractures-a-controlled-trial
#17
RANDOMIZED CONTROLLED TRIAL
Paul J McRae, Jason C Bendall, Veronica Madigan, Paul M Middleton
BACKGROUND: Femoral (thigh) fractures are an important clinical problem commonly encountered by paramedics. These injuries are painful, and the need for extrication and transport adds complexity to the management of this condition. Whereas traditional analgesia involves parenteral opioids, regional nerve blockade for femoral fractures have been demonstrated to be effective when performed by physicians. Regional peripheral nerve blockade performed by paramedics may be suitable in the prehospital setting...
May 2015: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25575896/a-randomized-study-to-compare-the-analgesic-efficacy-of-ultrasound-guided-block-of-fascia-iliaca-compartment-or-femoral-nerve-after-patella-fracture-surgery
#18
RANDOMIZED CONTROLLED TRIAL
Mingjian Kong, Ran Guo, Jianqing Chen, Peng Li, Zhen Wu
The aim of this study was to compare the analgesic efficacy of the ultrasound-guided block of femoral nerve or fascia iliaca compartment in patients who underwent patella fracture surgery. Fifty patients were blinded and randomized into groups treated with continuous fascia iliaca compartment block (CFICB) (n = 25) or continuous femoral nerve block (CFNB) (n = 25) after patella fracture surgery. Analgesic effects of the two methods were assessed and compared. Patients from the two groups showed no significant difference in visible analog scales at rest and during movement, fentanyl consumption, nausea, and vomiting...
June 2015: Cell Biochemistry and Biophysics
https://www.readbyqxmd.com/read/25532088/continuous-femoral-nerve-block-versus-fascia-iliaca-compartment-block-as-postoperative-analgesia-in-patients-with-hip-fracture
#19
RANDOMIZED CONTROLLED TRIAL
Marina Temelkovska-Stevanovska, Vesna Durnev, Marija Jovanovski-Srceva, Maja Mojsova-Mijovska, Sime Trpeski
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...
2014: Prilozi (Makedonska Akademija Na Naukite i Umetnostite. Oddelenie za Medicinski Nauki)
https://www.readbyqxmd.com/read/25430915/randomised-trial-of-the-fascia-iliaca-block-versus-the-3-in-1-block-for-femoral-neck-fractures-in-the-emergency-department
#20
RANDOMIZED CONTROLLED TRIAL
Paul Reavley, Alan A Montgomery, Jason E Smith, Simon Binks, Judith Edwards, Georgina Elder, Jonathan Benger
INTRODUCTION: Femoral neck fractures are a common and painful injury. Femoral nerve blocks, and a variant of this technique termed the '3-in-1' block, are often used in this patient group, but their effect is variable. The fascia iliaca compartment block (FIB) has been proposed as an alternative, but the relative effectiveness of the two techniques in the early stages of care is unknown. We therefore compared the FIB versus the 3-in-1 block in a randomised trial conducted in two UK emergency departments...
September 2015: Emergency Medicine Journal: EMJ
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