A Randomized Controlled Trial of FNB versus FICB for Patients with Femoral Neck Fractures Before Spinal Anesthesia

Yi Liang,1 Lv Lv,2 Liang He,1 Wei Deng,3 Cai Chen,1 Jingjuan Li1 1Department of Anesthesiology, The Affiliated Hospital of Guilin Medical University, Guilin, People’s Republic of China; 2Emergency Department, The Affiliated&...

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Autores principales:	Liang Y, Lv L, He L, Deng W, Chen C, Li J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	femoral neck fracture femoral nerve block fascia iliaca compartment block analgesia Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/470f49caf3004b7badfe298d5f1aa2c8
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spelling	oai:doaj.org-article:470f49caf3004b7badfe298d5f1aa2c82021-12-02T09:55:13ZA Randomized Controlled Trial of FNB versus FICB for Patients with Femoral Neck Fractures Before Spinal Anesthesia1178-1998https://doaj.org/article/470f49caf3004b7badfe298d5f1aa2c82020-07-01T00:00:00Zhttps://www.dovepress.com/a-randomized-controlled-trial-of-fnb-versus-ficb-for-patients-with-fem-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Yi Liang,1 Lv Lv,2 Liang He,1 Wei Deng,3 Cai Chen,1 Jingjuan Li1 1Department of Anesthesiology, The Affiliated Hospital of Guilin Medical University, Guilin, People’s Republic of China; 2Emergency Department, The Affiliated Hospital of Guilin Medical University, Guilin, People’s Republic of China; 3Department of Anesthesiology, The First Hospital of Jiaxing (Affiliated Hospital of Jiaxing University), Jiaxing, People’s Republic of ChinaCorrespondence: Liang HeDepartment of Anesthesiology, The Affiliated Hospital of Guilin Medical University, Lequn Road 15#, Guilin 541001, People’s Republic of ChinaTel +8613659633168Email jimyliang@hotmail.comBackground and Objectives: Patients with femoral neck fractures often suffer severe pain. This randomized controlled clinical study compared the effect of femoral nerve block (FNB) and fascia iliaca compartment block (FICB) in this population.Patients and Methods: Forty-six patients were randomly assigned to one of the two groups: FNB group (femoral nerve block, n=23) or FICB group (fascia iliaca compartment block, n=23). Before positioning for spinal anesthesia, patients received FNB with 15 mL of 0.5% ropivacaine or FICB with 40 mL of 0.5% ropivacaine. Pain was evaluated using a visual analogue scale (VAS) at rest and during hip flexion after admission to the operation room; at 3, 5, 8, and 10 min after analgesia intervention; and during positioning for spinal anesthesia. Positioning was attempted after 10 min of analgesia intervention in each group. Time required to perform spinal anesthesia, quality of positioning, and patient satisfaction were documented.Results: The VAS scores in the FNB group were significantly lower than those in FICB group at 3 and 5 min after analgesia intervention (P=0.000). However, there were no significant differences in VAS between groups at 8 or 10 min or during positioning.Conclusion: FNB and FICB produce similar analgesic effects in patients with femoral neck fractures, but FNB has a more rapid onset of pain relief.Keywords: femoral neck fracture, femoral nerve block, fascia iliaca compartment block, analgesiaLiang YLv LHe LDeng WChen CLi JDove Medical Pressarticlefemoral neck fracturefemoral nerve blockfascia iliaca compartment blockanalgesiaGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 1113-1119 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	femoral neck fracture femoral nerve block fascia iliaca compartment block analgesia Geriatrics RC952-954.6
spellingShingle	femoral neck fracture femoral nerve block fascia iliaca compartment block analgesia Geriatrics RC952-954.6 Liang Y Lv L He L Deng W Chen C Li J A Randomized Controlled Trial of FNB versus FICB for Patients with Femoral Neck Fractures Before Spinal Anesthesia
description	Yi Liang,1 Lv Lv,2 Liang He,1 Wei Deng,3 Cai Chen,1 Jingjuan Li1 1Department of Anesthesiology, The Affiliated Hospital of Guilin Medical University, Guilin, People’s Republic of China; 2Emergency Department, The Affiliated Hospital of Guilin Medical University, Guilin, People’s Republic of China; 3Department of Anesthesiology, The First Hospital of Jiaxing (Affiliated Hospital of Jiaxing University), Jiaxing, People’s Republic of ChinaCorrespondence: Liang HeDepartment of Anesthesiology, The Affiliated Hospital of Guilin Medical University, Lequn Road 15#, Guilin 541001, People’s Republic of ChinaTel +8613659633168Email jimyliang@hotmail.comBackground and Objectives: Patients with femoral neck fractures often suffer severe pain. This randomized controlled clinical study compared the effect of femoral nerve block (FNB) and fascia iliaca compartment block (FICB) in this population.Patients and Methods: Forty-six patients were randomly assigned to one of the two groups: FNB group (femoral nerve block, n=23) or FICB group (fascia iliaca compartment block, n=23). Before positioning for spinal anesthesia, patients received FNB with 15 mL of 0.5% ropivacaine or FICB with 40 mL of 0.5% ropivacaine. Pain was evaluated using a visual analogue scale (VAS) at rest and during hip flexion after admission to the operation room; at 3, 5, 8, and 10 min after analgesia intervention; and during positioning for spinal anesthesia. Positioning was attempted after 10 min of analgesia intervention in each group. Time required to perform spinal anesthesia, quality of positioning, and patient satisfaction were documented.Results: The VAS scores in the FNB group were significantly lower than those in FICB group at 3 and 5 min after analgesia intervention (P=0.000). However, there were no significant differences in VAS between groups at 8 or 10 min or during positioning.Conclusion: FNB and FICB produce similar analgesic effects in patients with femoral neck fractures, but FNB has a more rapid onset of pain relief.Keywords: femoral neck fracture, femoral nerve block, fascia iliaca compartment block, analgesia
format	article
author	Liang Y Lv L He L Deng W Chen C Li J
author_facet	Liang Y Lv L He L Deng W Chen C Li J
author_sort	Liang Y
title	A Randomized Controlled Trial of FNB versus FICB for Patients with Femoral Neck Fractures Before Spinal Anesthesia
title_short	A Randomized Controlled Trial of FNB versus FICB for Patients with Femoral Neck Fractures Before Spinal Anesthesia
title_full	A Randomized Controlled Trial of FNB versus FICB for Patients with Femoral Neck Fractures Before Spinal Anesthesia
title_fullStr	A Randomized Controlled Trial of FNB versus FICB for Patients with Femoral Neck Fractures Before Spinal Anesthesia
title_full_unstemmed	A Randomized Controlled Trial of FNB versus FICB for Patients with Femoral Neck Fractures Before Spinal Anesthesia
title_sort	randomized controlled trial of fnb versus ficb for patients with femoral neck fractures before spinal anesthesia
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/470f49caf3004b7badfe298d5f1aa2c8
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A Randomized Controlled Trial of FNB versus FICB for Patients with Femoral Neck Fractures Before Spinal Anesthesia

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