Ultra-Sound Guided Fascia Iliaca Compartmental Block Versus Spinal Anesthesia in Femoral Thrombectomy Surgery: A Randomized Controlled Trial | ||
| Medicine Updates | ||
| Articles in Press, Accepted Manuscript, Available Online from 19 September 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/muj.2025.416745.1257 | ||
| Authors | ||
| Ahmed Sonbol* ; Gehad Mohamed Kassem; Amal Rashad Reyad; Hazem ELsayed Moawad | ||
| Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Mansoura University, Mansoura, Egypt. | ||
| Abstract | ||
| Background: Anesthetic management for lower limb revascularization can involve several techniques, including regional nerve blocks, neuraxial approaches, and general anesthesia. The fascia iliaca compartment block (FICB) is a single-injection method known to effectively produce a thorough nerve blockade of the femoral nerve and the lateral femoral cutaneous nerve (LFCN) also it can also achieve a partial blockade of the genitofemoral and ilioinguinal nerves. Objective: This research aimed to compare the outcomes of spinal anesthesia versus ultrasound-guided fascia iliaca block for femoral thrombectomy procedures. Methods: A total of 84 patients undergoing femoral thrombectomy were enrolled in this randomized controlled trial. The trial's participants were divided into two groups of 42 patients each. Anesthetic management differed between the groups: An injection of 2.5 mL of 0.5% hyperbaric bupivacaine was administered to the spinal anesthesia cohort, whereas 40 mL of 0.25% bupivacaine was administered to the FICB group under ultrasound guidance. The investigation assessed various factors, including the success rate, onset, duration of sensory and motor blockade, Visual Analog Scale (VAS) scores, analgesic duration, intraoperative hemodynamics, and complications. Results: Success rate in the spinal group had a 100% success rate, the FICB group also achieved a high success rate of 80.9%, with a statistically significant difference between the two groups (p=0.005). Conclusion: Ultrasound-guided FICB provides a safe and effective alternative to spinal anesthesia in femoral thrombectomy, offering superior hemodynamic stability, prolonged analgesia, and reduced postoperative analgesic demand. | ||
| Keywords | ||
| Keywords: Fascia iliaca compartment block; spinal anesthesia; femoral thrombectomy; ultrasound guidance; postoperative analgesia | ||
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