Pain medicine

Ultrasound-guided suprainguinal fascia iliaca compartment block and early postoperative analgesia after total hip arthroplasty: a randomised controlled trial

Br J AnaesthPublished Randomised controlled trial

Primary resultResult — go to the resultMean difference −3.2 mg oral morphine equivalent 95% CI −15.3 to 8.1

Authors' 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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