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0363-5465
10.1177/0363546521996713 [doi]
Ovid MEDLINE(R)
33710936
Fascia Iliaca Block for Postoperative Pain Control After Hip Arthroscopy: A Systematic Review of Randomized Controlled Trials.
American Journal of Sports Medicine. 49(14):4042-4049, 2021 12.
Am J Sports Med. 49(14):4042-4049, 2021 12.
Am J Sports Med. 49(14):4042-4049, 2021 Dec.
The American journal of sports medicine
2021
FY2022
2021 Dec
ppublish
2022-01-25
American Journal of Sports Medicine. 49(14):4042-4049, 2021 Dec.
FY2022
Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
BACKGROUND: Various analgesic modalities have been used to improve postoperative pain in patients undergoing hip arthroscopy.
CONCLUSION: In patients undergoing hip arthroscopy, the FIB does not appear to demonstrate superiority to other forms of analgesics in the immediate postoperative period. Therefore, it is not recommended as a routine form of pain control for these procedures.
METHODS: A systematic review was performed by searching PubMed, the Cochrane Library, and Embase up to April 2020 to identify randomized controlled trials that compared postoperative pain and analgesic consumption in patients after hip arthroscopy with FIB versus other pain control modalities. The search phrase used was "hip arthroscopy fascia iliaca randomized." Patients were evaluated based on postoperative pain scores and total postoperative analgesic consumption.
PURPOSE: To systematically review the literature to compare the efficacy of the fascia iliaca block (FIB) with that of other analgesic modalities after hip arthroscopy in terms of postoperative pain scores and analgesic consumption.
RESULTS: Five studies (3 level 1, 2 level 2) were identified that met inclusion criteria, including 157 patients undergoing hip arthroscopy with FIB (mean age, 38.3 years; 44.6% men) and 159 patients among the following comparison groups: lumbar plexus block (LPB), intra-articular ropivacaine (IAR), local anesthetic infiltration (LAI), saline placebo, and a no-block control group (overall mean age, 36.2 years; 36.5% men). No significant differences in pain scores were reported in the postanesthesia care unit (PACU) between the FIB and LPB (3.4 vs 2.9; P = .054), IAR (7.7 vs 7.9; P = .72), control group (no FIB: 4.1 vs 3.8; P = .76); or saline placebo (difference, -0.2 [95% CI, -1.1 to 0.7]). One study reported significantly higher pain scores at 1 hour postoperation in the FIB group compared with the LAI group (5.5 vs 3.4; P = .02). Another study reported significantly greater total analgesic consumption (in morphine equivalent dosing) in the PACU among the FIB group compared with the LPB group (20.8 vs 17.0; P = .02). No significant differences were observed in total PACU analgesic consumption between FIB and other analgesic modalities.
STUDY DESIGN: Systematic review.
English
*Arthroscopy
*Nerve Block
Adult
Fascia
Female
Humans
Male
Pain, Postoperative/dt [Drug Therapy]
Pain, Postoperative/pc [Prevention & Control]
Randomized Controlled Trials as Topic
MedStar Washington Hospital Center
Orthopaedic Surgery Residency
Journal Article
Keeling, Laura
Keeling LE, Kraeutler MJ, McCarty EC, Mei-Dan O, Scillia AJ, Smith JH
https://dx.doi.org/10.1177/0363546521996713
https://dx.doi.org/10.1177/0363546521996713
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Article
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authcat
authcat
2022-01-25
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33710936
33710936
2022-01-25
2022-01-25
ART
921
921