PMID- 32334292
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240227
IS  - 1873-4529 (Electronic)
IS  - 0952-8180 (Linking)
VI  - 64
DP  - 2020 Apr 22
TI  - The impact of fascia iliaca compartment block on chronic postsurgical pain in 
      patients undergoing hip fracture repair.
PG  - 109801
LID - S0952-8180(19)31809-4 [pii]
LID - 10.1016/j.jclinane.2020.109801 [doi]
AB  - STUDY OBJECTIVE: Chronic postsurgical pain (CPSP), i.e. pain persisting 
      >3 months, may appear after any type of surgery. There is a paucity of literature 
      addressing CPSP development after hip fracture repair and the impact of any 
      analgesic intervention on the development of CPSP in patients after hip fracture 
      surgery. This study is the first aiming to examine the impact of 
      ultrasound-guided fascia iliaca compartment block (USG FICB) on the development 
      of CPSP after hip fracture repair. DESIGN: Prospective randomized study. SETTING: 
      Operating room. PATIENTS: 182 patients scheduled for hip fracture surgery. 
      INTERVENTIONS: Patients were randomized to receive a USG FICB (FICB group) or a 
      sham saline injection (sham FICB group), twenty minutes before positioning for 
      spinal anesthesia. MEASUREMENTS: The hip - related characteristic pain intensity 
      (CPI) at 3- months post-surgery was the primary outcome measure. Presence and 
      severity of hip-related pain at 3- and 6-months post-surgery, numeric rating pain 
      scale (NRS) scores at 6, 24, 36, 48 postoperative hours, total 24-hour tramadol 
      PCA administration and timing of the first tramadol dose, were documented as 
      well. MAIN RESULTS: FICB group presented with lower CPI scores 3- months 
      postoperatively (p < 0.01), as well as lower percentage of patients with 
      high-grade CPSP, 3 and 6 months postoperatively (p < 0.001). FICB group also 
      showed significantly lower NRS scores in all instances, lower total 24 - hour 
      tramadol consumption and higher mean time to first tramadol dose (p < 0.05). The 
      overall sample of 182 patients reported a considerably high incidence of hip 
      -related CPSP (60% at 3 months, 45% at 6 months). CONCLUSIONS: USG FICB in the 
      perioperative setting may reduce the incidence, intensity and severity of CPSP at 
      3 and 6 months after hip fracture surgery, providing safe and effective 
      postoperative analgesia.
CI  - Copyright (c) 2020 Elsevier Inc. All rights reserved.
FAU - Diakomi, Maria
AU  - Diakomi M
AD  - Department of Anesthesiology, Asklepieion Hospital of Voula, Athens, Greece.
FAU - Papaioannou, Marianna
AU  - Papaioannou M
AD  - Department of Anesthesiology, Asklepieion Hospital of Voula, Athens, Greece.
FAU - Georgoudis, George
AU  - Georgoudis G
AD  - Physiotherapy Department, University of West Attica, Athens, Greece.
FAU - Argyra, Erifili
AU  - Argyra E
AD  - Department of Anesthesiology, Aretaieion University Hospital, Athens, Greece.
FAU - Mela, Argyro
AU  - Mela A
AD  - Department of Anesthesiology, Asklepieion Hospital of Voula, Athens, Greece.
FAU - Siafaka, Ioanna
AU  - Siafaka I
AD  - Department of Anesthesiology, Aretaieion University Hospital, Athens, Greece.
FAU - Makris, Alexandros
AU  - Makris A
AD  - Department of Anesthesiology, Asklepieion Hospital of Voula, Athens, Greece. 
      Electronic address: makrisalexandros@hotmail.com.
LA  - eng
PT  - Journal Article
DEP - 20200422
PL  - United States
TA  - J Clin Anesth
JT  - Journal of clinical anesthesia
JID - 8812166
SB  - IM
OTO - NOTNLM
OT  - Acute pain
OT  - Chronic pain
OT  - Lower extremity
COIS- Declaration of competing interest The authors declare no conflicts of interest 
      and no sources of funding for this manuscript.
EDAT- 2020/04/26 06:00
MHDA- 2020/04/26 06:01
CRDT- 2020/04/26 06:00
PHST- 2019/11/10 00:00 [received]
PHST- 2020/02/12 00:00 [revised]
PHST- 2020/04/04 00:00 [accepted]
PHST- 2020/04/26 06:01 [medline]
PHST- 2020/04/26 06:00 [pubmed]
PHST- 2020/04/26 06:00 [entrez]
AID - S0952-8180(19)31809-4 [pii]
AID - 10.1016/j.jclinane.2020.109801 [doi]
PST - aheadofprint
SO  - J Clin Anesth. 2020 Apr 22;64:109801. doi: 10.1016/j.jclinane.2020.109801.