10. SCIENTIFIC EVALUATION OF POSTOPERATIVE ANALGESIC EFFICACY OF CONTINUOUS FASCIA ILIACA COMPARTMENT BLOCK IN HIP ARTHROPLASTY AT TRANSPORT HOSPITAL
Main Article Content
Abstract
Objective: To evaluate the postoperative analgesic efficacy of continuous fascia iliaca compartment block (FICB) using 0.1% bupivacaine after total hip arthroplasty, and to record associated adverse effects.
Methods: A prospective, randomized, controlled trial was conducted on 60 patients undergoing hip arthroplasty, randomized into two groups: MC group (n=30) received continuous FICB and TKD group (n=30) received continuous femoral nerve block. Both techniques used bupivacaine and were performed under ultrasound guidance.
Results: Mean VAS scores at rest and during movement in both groups were <4 and significantly decreased compared with baseline (p<0.05). Between H1 and H10, the MC group had significantly lower VAS scores than the TKD group (p<0.05); from H12 to H48, the difference was not statistically significant (p>0.05). All patients had minimal motor blockade (Bromage score 0 or I); the proportion of Bromage I was lower in the MC group (43.3%) than in the TKD group (52.2%), with no significant difference. No adverse events such as pruritus, nausea, vomiting, or respiratory depression were observed.
Conclusion: Continuous FICB under ultrasound guidance is an effective and safe method for postoperative analgesia in hip arthroplasty, providing good pain control with minimal motor blockade and few side effects.
Article Details
Keywords
fascia iliaca compartment block, hip arthroplasty, bupivacaine.
References
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