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CC2021: Fascia Iliaca Block for Postoperative Pain ...
CC2021: Fascia Iliaca Block for Postoperative Pain ...
CC2021: Fascia Iliaca Block for Postoperative Pain Control After Hip Arthroscopy (December 2021)
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Pdf Summary
This systematic review examined the efficacy of the fascia iliaca block (FIB) compared to other analgesic modalities for postoperative pain control after hip arthroscopy. Five randomized controlled trials, including a total of 316 patients, were included in the review. The studies compared FIB with lumbar plexus block (LPB), intra-articular ropivacaine, local anesthetic infiltration, saline placebo, or a no-block control group. <br /><br />The review found that FIB did not show superiority to other analgesic modalities in terms of pain scores and analgesic consumption in the immediate postoperative period. No significant differences in pain scores were reported between FIB and the comparison groups in the post-anesthesia care unit (PACU). One study reported significantly higher pain scores 1 hour after surgery in the FIB group compared to the local anesthetic infiltration group, and another study reported significantly greater total analgesic consumption in the PACU among the FIB group compared to the LPB group.<br /><br />Based on these findings, the authors conclude that FIB is not recommended as a routine form of pain control for hip arthroscopy. The review highlights the need for standardized pain management strategies for patients undergoing hip arthroscopy and suggests that other analgesic modalities may be more effective in providing pain relief. However, the review has some limitations, including the small number of studies and the heterogeneity in comparison groups and pain scales used. Further research is needed to evaluate the long-term outcomes and effectiveness of different analgesic strategies for hip arthroscopy.
Keywords
systematic review
efficacy
fascia iliaca block
analgesic modalities
postoperative pain control
hip arthroscopy
randomized controlled trials
pain scores
analgesic consumption
pain management strategies
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