Ultrasound-guided Lumbar Plexus Block Versus Suprainguinal Facia Iliaca Block for Postoperative Analgesia in Hip Surgeries
Khattab, M., Saleh, A., Abusaba, M. (2644). Ultrasound-guided Lumbar Plexus Block Versus Suprainguinal Facia Iliaca Block for Postoperative Analgesia in Hip Surgeries. EKB Journal Management System, 2023(1), -. doi: 10.58675/2682-339X.1915
Mohamed Aysar Khattab; Abdelwahab Abdelsattar Saleh; Mohamed Amr Abusaba. "Ultrasound-guided Lumbar Plexus Block Versus Suprainguinal Facia Iliaca Block for Postoperative Analgesia in Hip Surgeries". EKB Journal Management System, 2023, 1, 2644, -. doi: 10.58675/2682-339X.1915
Khattab, M., Saleh, A., Abusaba, M. (2644). 'Ultrasound-guided Lumbar Plexus Block Versus Suprainguinal Facia Iliaca Block for Postoperative Analgesia in Hip Surgeries', EKB Journal Management System, 2023(1), pp. -. doi: 10.58675/2682-339X.1915
Khattab, M., Saleh, A., Abusaba, M. Ultrasound-guided Lumbar Plexus Block Versus Suprainguinal Facia Iliaca Block for Postoperative Analgesia in Hip Surgeries. EKB Journal Management System, 2644; 2023(1): -. doi: 10.58675/2682-339X.1915

Ultrasound-guided Lumbar Plexus Block Versus Suprainguinal Facia Iliaca Block for Postoperative Analgesia in Hip Surgeries

Al-Azhar International Medical Journal
Volume 2023, Issue 1, January 2023  XML
DOI: 10.58675/2682-339X.1915
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Authors
Mohamed Aysar Khattab; Abdelwahab Abdelsattar Saleh; Mohamed Amr Abusaba
Department of Anesthesiology, Intensive Care, and Pain Management, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
Abstract
Introduction:- SIFIB can anaesthetize the obturator nerve as well as the femoral and lateral femoral cutaneous nerves, unlike traditional facia iliac blocks. SIFIB’s superiority over the sub-inguinal technique is explained by the improved obturator block. SIFIB is regarded to be non-inferior to lumbar plexus block since it may anesthetize lumbar plexus nerves while causing few side effects.The purpose of this trial was to examine the tolerability and analgesic performance of ultrasound-guided SIFIB against LPB in THA patients Patient and Methods:- 60 patients were enrolled, undergoing THA, with age (40-80) years, ASA (I-III), and BMI (18-35) kg/m2. The criteria of exclusion were patient refusal, coagulopathy, sepsis, hepatic/renal failure, local anesthetic allergy, preexisting femoral/obturator neuropathy, and previous lumbar spine or inguinal surgery. Results:- There was no significant distinction between groups in the context of the static and dynamic VAS score. In addition, this study revealed a nonsignificant comparison between LBP and SIFIB groups, regarding the 24 h morphine consumption and the duration to first request of analgesia (7.5 vs. 6.1 mg; 348 vs. 312 min, P > 0.1), respectively. Conclusion:- In total hip arthroplasty, this findings revealed that analgesia produced by US-guided suprainguinal facia iliac block was not inferior to lumbar plexus block. With excellent-to-good satisfaction reporting, analgesia was significantly sustained in the suprainguinal facia iliac block group 24 h following surgery. To ensure early mobilization following surgery, it is essential to research quadriceps-sparing blocks, as pericapsular nerve group (PENG) block.
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