Ultrasound-guided suprainguinal fascia iliaca compartment block and early postoperative analgesia after total hip arthroplasty: a randomised controlled trial
Primary resultResult — go to the resultMean difference −3.2 mg oral morphine equivalent 95% CI −15.3 to 8.1Authors' conclusion
In patients undergoing primary total hip arthroplasty, ultrasound-guided suprainguinal fascia iliaca block with ropivacaine did not confer a significant opioid-sparing effect compared with sham block.
Study context
- Population
- Patients scheduled for elective primary total hip arthroplasty under spinal anaesthesia
- Participants
- 134 patients
- Comparison
- Block vs Sham block
- Primary endpoint
- Opioid consumption
- Follow-up
- First 24 h after surgery
Methodological detailssham-controlled
- Sham-controlled
Primary result
As reported in the abstract
Mean difference
−3.2 mg oral morphine equivalent
95% CI −15.3 to 8.1
P = 0.55
Block vs Sham block
mean difference −3.2 mg oral morphine equivalent (95% CI −15.3 to 8.1); P = 0.55
Secondary outcomes
Other prespecified outcomes: pain scores at 4, 8, 12 and 16 h, opioid-related side-effects (nausea, vomiting, pruritis), ability to perform physiotherapy on the first postoperative day, quadriceps weakness
- No significant differences between block and sham block
Safety
Opioid-related side-effects (nausea, vomiting, pruritis)
- No differences
Original publication
Ultrasound-guided suprainguinal fascia iliaca compartment block and early postoperative analgesia after total hip arthroplasty: a randomised controlled trial. Br J Anaesth. Published 18 May 2024. doi:10. 1016/ j. bja. 2024. 04. 019
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