The effect of preoperative fascia iliaca compartment block on postoperative analgesic use in patients with femoral fracture Femur kiriʇi olan hastalarda preoperatif uygulanan fasia iliaka kompartman bloʇunun postoperatif analjezik tüketimine etkisi

Domaç A., Kelsaka E., Sarihasan B.

Anestezi Dergisi, cilt.23, sa.3, ss.144-151, 2015 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 23 Sayı: 3
  • Basım Tarihi: 2015
  • Dergi Adı: Anestezi Dergisi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.144-151
  • Anahtar Kelimeler: Fascia iliaca compartment block, Geriatric patient, Postoperative pain, Spinal anesthesia
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

Objective: The aim of this study was to determine the effect of preoperative fascia iliaca compartment block (FICB) on patient positioning for spinal anesthesia and on postoperative analgesic use in patients undergoing surgery for femoral fractures. Method: This prospective, double-blind comparative study included 40 patients aged 65-80, ASA I-III, who were to be operated for a femoral fracture. Patients in Group B (block) underwent FICB with 0.5% bupivacaine, 15 mL, and 2% lidocaine 15 mL, Group C patients were not subjected to the block. While being positioned with the extremity to be operated lower than the contralateral one, patients judged their pain level on a visual analog scale (VAS). Postoperative pain management was assured by morphine, administered by the patient-controlled analgesia method (PCA). PCA demand count, total analgesic use and VAS evaluations were recorded. Results: The VAS score attributed during the patients' positioning for spinal anesthesia was lower. Patients of the block group also had lower values for PCA request numbers in the first 4 hours and at 48 hours, and also the quantity of analgesic agent administered by PCA. Both resting and movement VAS scores in the first 4 hours were also lower in Group B than in controls. Patient satisfaction was also higher in Group B than Group C. Conclusion: FICB provides effective preoperative, intraoperative and postoperative analgesia, facilitates the patients' positioning for spinal anesthesia and increases patients' comfort.