The Efficacy of Fascia Iliaca Block for Pain Control after Total Hip Arthroplasty

Abstract

otal hip arthroplasty (THA) are common surgical procedures for treatment of the degenerative disorders and traumatic diseases. However, a majority of patients often experience moderate to severe postoperative pain after THA. Postoperative pain control has a significant impact on earlier ambulation, initiation of physiotherapy, and better functional recovery. In addition, effective pain control would lower the length of hospital stay and the risk of thrombotic events which improves patients’ satisfaction. The fascia iliaca compartment block performed by landmark technique is inexpensive, safe and easy to perform. It delivers effective pain relief whilst avoiding the undesirable side-effects of certain other forms of analgesia. The aim of this study was to assess the efficacy and safety of FICB compared with standard multimodal analgesia in patients undergoing THA. After approval of anesthesiology department scientific and ethical committees in Ain Shams University Hospitals, patients were included in the study, and were divided into two groups (n=42; each); group FICB and control group. • Group FICB: Patients (n=42) of this group received ultrasound guided Fascia iliaca compartment block (FICB) before spinal anesthesia using 20-40 ml of 0.25% bupivacaine. • Control Group: Patients (n=42) of this group wouldn’t receive the block and will receive multimodal analgesia.