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Evaluation of Postoperative Analgesic Efficacy of Ultrasound-Guided Suprainguinal Fascia Iliaca Block in Knee Arthroplasty: Prospective, Randomized, Feasibility Study

Background: Total Knee Arthroplasty (TKA) is one of the most commonly performed orthopedic procedures, and patients complain of severe pain in the postoperative period. The supra-inguinal fascia iliaca block (SIFIB) works as an anteriorly applied lumbar plexus block and is frequently used in hip sur...

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Autores principales: Kefeli Çelik, Hale, Tulgar, Serkan, Güler, Serkan, Koç, Kadem, Küçükordulu, Büşra Burcu, Ferli, Ramazan Burak, Kehribar, Lokman, Genç, Ahmet Serhat, Süren, Mustafa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10531897/
https://www.ncbi.nlm.nih.gov/pubmed/37763016
http://dx.doi.org/10.3390/jcm12186076
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author Kefeli Çelik, Hale
Tulgar, Serkan
Güler, Serkan
Koç, Kadem
Küçükordulu, Büşra Burcu
Ferli, Ramazan Burak
Kehribar, Lokman
Genç, Ahmet Serhat
Süren, Mustafa
author_facet Kefeli Çelik, Hale
Tulgar, Serkan
Güler, Serkan
Koç, Kadem
Küçükordulu, Büşra Burcu
Ferli, Ramazan Burak
Kehribar, Lokman
Genç, Ahmet Serhat
Süren, Mustafa
author_sort Kefeli Çelik, Hale
collection PubMed
description Background: Total Knee Arthroplasty (TKA) is one of the most commonly performed orthopedic procedures, and patients complain of severe pain in the postoperative period. The supra-inguinal fascia iliaca block (SIFIB) works as an anteriorly applied lumbar plexus block and is frequently used in hip surgeries. In this study, we evaluated the effect of SIFIB in patients undergoing TKA under spinal anesthesia. Methods: This study is a prospective, randomized, assessor-blinded feasibility study conducted in a tertiary hospital. Eighty-six patients with ASA I-III were initially enrolled, and after exclusions, 80 patients were randomized into two equal groups (SIFIB and control groups). The standard multimodal analgesia was applied to the control group, while SIFIB was additionally applied to the block group. The study measured the morphine requirement in PCA and pain intensity using Numeric Rating Scores between the two groups. Results: the 24-h cumulative morphine consumption was lower in Group SIFIB. Although there was a decrease in NRS at rest scores in the SIFIB group during some time periods, pain was moderate, and no differences in pain scores were recorded during exercise in all patients. Conclusions: In patients undergoing TKA under spinal anesthesia, a single shot of SIFIB results in a significant reduction in the amount of morphine consumed in hours. This effect was most likely related to a decrease in pain at rest in the SIFIF group.
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spelling pubmed-105318972023-09-28 Evaluation of Postoperative Analgesic Efficacy of Ultrasound-Guided Suprainguinal Fascia Iliaca Block in Knee Arthroplasty: Prospective, Randomized, Feasibility Study Kefeli Çelik, Hale Tulgar, Serkan Güler, Serkan Koç, Kadem Küçükordulu, Büşra Burcu Ferli, Ramazan Burak Kehribar, Lokman Genç, Ahmet Serhat Süren, Mustafa J Clin Med Article Background: Total Knee Arthroplasty (TKA) is one of the most commonly performed orthopedic procedures, and patients complain of severe pain in the postoperative period. The supra-inguinal fascia iliaca block (SIFIB) works as an anteriorly applied lumbar plexus block and is frequently used in hip surgeries. In this study, we evaluated the effect of SIFIB in patients undergoing TKA under spinal anesthesia. Methods: This study is a prospective, randomized, assessor-blinded feasibility study conducted in a tertiary hospital. Eighty-six patients with ASA I-III were initially enrolled, and after exclusions, 80 patients were randomized into two equal groups (SIFIB and control groups). The standard multimodal analgesia was applied to the control group, while SIFIB was additionally applied to the block group. The study measured the morphine requirement in PCA and pain intensity using Numeric Rating Scores between the two groups. Results: the 24-h cumulative morphine consumption was lower in Group SIFIB. Although there was a decrease in NRS at rest scores in the SIFIB group during some time periods, pain was moderate, and no differences in pain scores were recorded during exercise in all patients. Conclusions: In patients undergoing TKA under spinal anesthesia, a single shot of SIFIB results in a significant reduction in the amount of morphine consumed in hours. This effect was most likely related to a decrease in pain at rest in the SIFIF group. MDPI 2023-09-20 /pmc/articles/PMC10531897/ /pubmed/37763016 http://dx.doi.org/10.3390/jcm12186076 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kefeli Çelik, Hale
Tulgar, Serkan
Güler, Serkan
Koç, Kadem
Küçükordulu, Büşra Burcu
Ferli, Ramazan Burak
Kehribar, Lokman
Genç, Ahmet Serhat
Süren, Mustafa
Evaluation of Postoperative Analgesic Efficacy of Ultrasound-Guided Suprainguinal Fascia Iliaca Block in Knee Arthroplasty: Prospective, Randomized, Feasibility Study
title Evaluation of Postoperative Analgesic Efficacy of Ultrasound-Guided Suprainguinal Fascia Iliaca Block in Knee Arthroplasty: Prospective, Randomized, Feasibility Study
title_full Evaluation of Postoperative Analgesic Efficacy of Ultrasound-Guided Suprainguinal Fascia Iliaca Block in Knee Arthroplasty: Prospective, Randomized, Feasibility Study
title_fullStr Evaluation of Postoperative Analgesic Efficacy of Ultrasound-Guided Suprainguinal Fascia Iliaca Block in Knee Arthroplasty: Prospective, Randomized, Feasibility Study
title_full_unstemmed Evaluation of Postoperative Analgesic Efficacy of Ultrasound-Guided Suprainguinal Fascia Iliaca Block in Knee Arthroplasty: Prospective, Randomized, Feasibility Study
title_short Evaluation of Postoperative Analgesic Efficacy of Ultrasound-Guided Suprainguinal Fascia Iliaca Block in Knee Arthroplasty: Prospective, Randomized, Feasibility Study
title_sort evaluation of postoperative analgesic efficacy of ultrasound-guided suprainguinal fascia iliaca block in knee arthroplasty: prospective, randomized, feasibility study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10531897/
https://www.ncbi.nlm.nih.gov/pubmed/37763016
http://dx.doi.org/10.3390/jcm12186076
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