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B88 Comparison of suprainguinal fascia iliaca block with control group in patients undergoing total hip arthroplasty: a randomized, controlled study
  1. M Eidininkienė1,
  2. A Gelmanas1,2 and
  3. G Aldakauskaitė1
  1. 1Lithuanian University of Health Sciences, Kaunas, Lithuania
  2. 2Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania


Background and Aims Postoperative pain management after major orthopedic surgeries such as total hip arthroplasty (THA) is one of the biggest considerations [1]. Suprainguinal fascia iliaca block (SFIB) might be beneficial for postoperative pain control after THA, but the value persists controversial [2]. This prospective, randomized, double-blinded study aimed to investigate the analgesic efficiency of SFIB after THA compared to control group (C).

Methods LUHS Bioethics Committee granted the research (No. BEC-MF-250). 36 patients scheduled for THA were randomized into two groups: 16 in SFIB and 20 in C group. After the operation, a blinded observer recorded pain, extent of motor block (Bromage scale), opioid consumption and additional painkillers. Evaluation of pain: at 3, 6, 24 and 48 hours postoperatively, patients were assessed using a visual analog scale (VAS) on the operated leg at rest, in active and passive 45° flexion positions.

Results 36 patients were assessed, 19 (52,8%) men and 17 (47,2%) women. There were no differences between the groups with respect to demographics. Opioid consumption after 24 hours postoperatively was reduced in SFIB group, unfortunately not statistically significantly (p>0,05). The VAS scores at rest and in motion also were similar at all-time points as well as the extent of motor block. Consumption of additional painkillers was less after 24 hours in SFIB (38,9%) than C (50%) and after 48 hours SFIB (27,8%), C (44,4%) but statistically insignificant (p>0,05).

Conclusions We conclude that postoperative pain management with SFIB may be valuable after THA. However, a larger study is needed to make the data more reliable.

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