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Femoral nerve block versus fascia iliaca block for pain control in knee and hip arthroplasties: A meta-analysis

BACKGROUND: This meta-analysis aimed to compare the efficiency of fascia iliaca compartment block (FICB) and femoral nerve block (FNB) for pain management in knee and hip surgeries. METHODS: We searched four electronic databases (Pubmed, Embase, Cochrane library database, Web of Science) from incept...

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Autores principales: Fan, Xiaohua, Cao, Fei, Luo, Ailin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8036080/
https://www.ncbi.nlm.nih.gov/pubmed/33832151
http://dx.doi.org/10.1097/MD.0000000000025450
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author Fan, Xiaohua
Cao, Fei
Luo, Ailin
author_facet Fan, Xiaohua
Cao, Fei
Luo, Ailin
author_sort Fan, Xiaohua
collection PubMed
description BACKGROUND: This meta-analysis aimed to compare the efficiency of fascia iliaca compartment block (FICB) and femoral nerve block (FNB) for pain management in knee and hip surgeries. METHODS: We searched four electronic databases (Pubmed, Embase, Cochrane library database, Web of Science) from inception to January 2019. Only randomized controlled trials (RCTs) were included. Two review authors independently extracted data for each included study. Primary outcomes were visual analogue scale at 12 hours, 24 hours, 48 hours, total morphine consumption, the length of hospital stay and the occurrence of nausea and vomiting. Standardized mean difference (SMD) or risk ratio (RR) and 95% confidence intervals (CIs) were calculated for continuous outcomes and discontinuous outcomes respectively. We used the Cochrane Risk of Bias tool to assess risk of bias. Stata 12.0 was used for meta-analysis. RESULTS: Finally, 7 RCTs involving 508 patients (FICB = 254, FNB = 254) were included in this meta-analysis. Compared with FNB group, FICB has no benefit for visual analogue scale at 12 hours (SMD = 0.02, 95% CI, −0.15 to 0.19; P = .820), 24 hours (SMD = −0.02, 95% CI, −0.22 to 0.18; P = .806), and 48 hours (SMD = −0.02, 95% CI, −0.22 to 0.19; P = .872). No significant differences were found regarding total morphine consumption (SMD = −0.07, 95% CI, −0.29 to 0.15; P = .533). What's more, there was no significant difference between the length of hospital stay and the occurrence of nausea and vomiting (P > .05). CONCLUSION: FICB has equivalent pain control and morphine-sparing efficacy when compared with FNB. More high-quality RCTs are needed to identify the optimal drugs and volume of local infiltration protocols.
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spelling pubmed-80360802021-04-13 Femoral nerve block versus fascia iliaca block for pain control in knee and hip arthroplasties: A meta-analysis Fan, Xiaohua Cao, Fei Luo, Ailin Medicine (Baltimore) 7100 BACKGROUND: This meta-analysis aimed to compare the efficiency of fascia iliaca compartment block (FICB) and femoral nerve block (FNB) for pain management in knee and hip surgeries. METHODS: We searched four electronic databases (Pubmed, Embase, Cochrane library database, Web of Science) from inception to January 2019. Only randomized controlled trials (RCTs) were included. Two review authors independently extracted data for each included study. Primary outcomes were visual analogue scale at 12 hours, 24 hours, 48 hours, total morphine consumption, the length of hospital stay and the occurrence of nausea and vomiting. Standardized mean difference (SMD) or risk ratio (RR) and 95% confidence intervals (CIs) were calculated for continuous outcomes and discontinuous outcomes respectively. We used the Cochrane Risk of Bias tool to assess risk of bias. Stata 12.0 was used for meta-analysis. RESULTS: Finally, 7 RCTs involving 508 patients (FICB = 254, FNB = 254) were included in this meta-analysis. Compared with FNB group, FICB has no benefit for visual analogue scale at 12 hours (SMD = 0.02, 95% CI, −0.15 to 0.19; P = .820), 24 hours (SMD = −0.02, 95% CI, −0.22 to 0.18; P = .806), and 48 hours (SMD = −0.02, 95% CI, −0.22 to 0.19; P = .872). No significant differences were found regarding total morphine consumption (SMD = −0.07, 95% CI, −0.29 to 0.15; P = .533). What's more, there was no significant difference between the length of hospital stay and the occurrence of nausea and vomiting (P > .05). CONCLUSION: FICB has equivalent pain control and morphine-sparing efficacy when compared with FNB. More high-quality RCTs are needed to identify the optimal drugs and volume of local infiltration protocols. Lippincott Williams & Wilkins 2021-04-09 /pmc/articles/PMC8036080/ /pubmed/33832151 http://dx.doi.org/10.1097/MD.0000000000025450 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/)
spellingShingle 7100
Fan, Xiaohua
Cao, Fei
Luo, Ailin
Femoral nerve block versus fascia iliaca block for pain control in knee and hip arthroplasties: A meta-analysis
title Femoral nerve block versus fascia iliaca block for pain control in knee and hip arthroplasties: A meta-analysis
title_full Femoral nerve block versus fascia iliaca block for pain control in knee and hip arthroplasties: A meta-analysis
title_fullStr Femoral nerve block versus fascia iliaca block for pain control in knee and hip arthroplasties: A meta-analysis
title_full_unstemmed Femoral nerve block versus fascia iliaca block for pain control in knee and hip arthroplasties: A meta-analysis
title_short Femoral nerve block versus fascia iliaca block for pain control in knee and hip arthroplasties: A meta-analysis
title_sort femoral nerve block versus fascia iliaca block for pain control in knee and hip arthroplasties: a meta-analysis
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8036080/
https://www.ncbi.nlm.nih.gov/pubmed/33832151
http://dx.doi.org/10.1097/MD.0000000000025450
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