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A comparison of different volumes of bupivacaine used in fascia iliaca compartment block introduction

BACKGROUND: Fascia iliaca compartment block (FICB) is one of the regional techniques applied for post-operative pain control after femoral and knee surgery. To the best of our knowledge, there are limited reports focusing on local anesthetic (LA) volume. Our aim in this study was to find the most cl...

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Autores principales: Gül, Rauf, Kılınç, Metin, Şahin, Levent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kare Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10225824/
https://www.ncbi.nlm.nih.gov/pubmed/36880630
http://dx.doi.org/10.14744/tjtes.2023.51268
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author Gül, Rauf
Kılınç, Metin
Şahin, Levent
author_facet Gül, Rauf
Kılınç, Metin
Şahin, Levent
author_sort Gül, Rauf
collection PubMed
description BACKGROUND: Fascia iliaca compartment block (FICB) is one of the regional techniques applied for post-operative pain control after femoral and knee surgery. To the best of our knowledge, there are limited reports focusing on local anesthetic (LA) volume. Our aim in this study was to find the most clinically effective volume by comparing three different volumes of LA used frequently in the literature for US-guided infra-inguinal FICB for post-operative pain control in patients undergoing femur and knee surgery. METHODS: A total of 45 patients with ASA I-III physical scores were included in the study. When the surgical procedure was completed under general anesthesia, FIKB was applied with 0.25% Bupivacaine under ultrasound guidance to the patients before extubation. Patients were randomly divided into three different groups for the volume of local anesthetic to be administered. Bupivacaine was administered 0.3 mL/kg in Group 1, 0.4 mL/kg in Group 2 and 0.5 mL/kg in Group 3. After FIKB, the patients were extubated. The patients were followed up for 24 h postoperatively in terms of vital signs, pain scores, additional analgesic requirement, and possible side effects. RESULTS: When the post-operative pain scores were compared, the scores of Group 1 were found to be statistically higher than Group 3 at the post-operative 1(st), 4(th), and 6(th) h (p<0.05). When the additional analgesia requirement compared, the post-operative 4(th) h was highest in Group 1 compared to the other groups (p=0.03). At the post-operative 6th h, additional analgesic requirement was less in Group 3 than in the other groups, and there was no difference between Groups 1 and 2 (p=0.026). As the LA volume increased, the amount of analgesic consumed in the first 24 h decreased, but there was no statistically significant difference (p=0.051). CONCLUSION: Our study showed that ultrasound-guided FIKB is a safe and effective method for post-operative pain relief as a part of multimodal analgesic components, and 0.25% bupivacaine in 0.5 mL/kg volume provides more effective analgesia than the other two groups without any side effects.
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spelling pubmed-102258242023-06-02 A comparison of different volumes of bupivacaine used in fascia iliaca compartment block introduction Gül, Rauf Kılınç, Metin Şahin, Levent Ulus Travma Acil Cerrahi Derg Original Article BACKGROUND: Fascia iliaca compartment block (FICB) is one of the regional techniques applied for post-operative pain control after femoral and knee surgery. To the best of our knowledge, there are limited reports focusing on local anesthetic (LA) volume. Our aim in this study was to find the most clinically effective volume by comparing three different volumes of LA used frequently in the literature for US-guided infra-inguinal FICB for post-operative pain control in patients undergoing femur and knee surgery. METHODS: A total of 45 patients with ASA I-III physical scores were included in the study. When the surgical procedure was completed under general anesthesia, FIKB was applied with 0.25% Bupivacaine under ultrasound guidance to the patients before extubation. Patients were randomly divided into three different groups for the volume of local anesthetic to be administered. Bupivacaine was administered 0.3 mL/kg in Group 1, 0.4 mL/kg in Group 2 and 0.5 mL/kg in Group 3. After FIKB, the patients were extubated. The patients were followed up for 24 h postoperatively in terms of vital signs, pain scores, additional analgesic requirement, and possible side effects. RESULTS: When the post-operative pain scores were compared, the scores of Group 1 were found to be statistically higher than Group 3 at the post-operative 1(st), 4(th), and 6(th) h (p<0.05). When the additional analgesia requirement compared, the post-operative 4(th) h was highest in Group 1 compared to the other groups (p=0.03). At the post-operative 6th h, additional analgesic requirement was less in Group 3 than in the other groups, and there was no difference between Groups 1 and 2 (p=0.026). As the LA volume increased, the amount of analgesic consumed in the first 24 h decreased, but there was no statistically significant difference (p=0.051). CONCLUSION: Our study showed that ultrasound-guided FIKB is a safe and effective method for post-operative pain relief as a part of multimodal analgesic components, and 0.25% bupivacaine in 0.5 mL/kg volume provides more effective analgesia than the other two groups without any side effects. Kare Publishing 2023-03-01 /pmc/articles/PMC10225824/ /pubmed/36880630 http://dx.doi.org/10.14744/tjtes.2023.51268 Text en Copyright © 2023 Turkish Journal of Trauma and Emergency Surgery https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
spellingShingle Original Article
Gül, Rauf
Kılınç, Metin
Şahin, Levent
A comparison of different volumes of bupivacaine used in fascia iliaca compartment block introduction
title A comparison of different volumes of bupivacaine used in fascia iliaca compartment block introduction
title_full A comparison of different volumes of bupivacaine used in fascia iliaca compartment block introduction
title_fullStr A comparison of different volumes of bupivacaine used in fascia iliaca compartment block introduction
title_full_unstemmed A comparison of different volumes of bupivacaine used in fascia iliaca compartment block introduction
title_short A comparison of different volumes of bupivacaine used in fascia iliaca compartment block introduction
title_sort comparison of different volumes of bupivacaine used in fascia iliaca compartment block introduction
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10225824/
https://www.ncbi.nlm.nih.gov/pubmed/36880630
http://dx.doi.org/10.14744/tjtes.2023.51268
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