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Published: 2025-09-25
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Views PDF (Tiếng Việt): 34
DOI: https://doi.org/10.52163/yhc.v66iCD13.3193
Issue
Vol. 66 No. CĐ13- HNKH Gây mê Hồi sức
Section
Articles
How to Cite
Dương, L. T., & Tâm, L. V. (2025). 26. ANALGESIC EFFICACY OF ULTRASOUND-GUIDED FASCIA ILIACA COMPARTMENT BLOCK COMPARED TO INTRATHECAL MORPHINE AFTER PROXIMAL FEMORAL FRACTURE SURGERY. Vietnam Journal of Community Medicine, 66(CĐ13- HNKH Gây mê Hồi sức). https://doi.org/10.52163/yhc.v66iCD13.3193

26. ANALGESIC EFFICACY OF ULTRASOUND-GUIDED FASCIA ILIACA COMPARTMENT BLOCK COMPARED TO INTRATHECAL MORPHINE AFTER PROXIMAL FEMORAL FRACTURE SURGERY

Luong Thi Duong1, Le Van Tam1
1 Hue University of Medicine and Pharmacy Hospital

Main Article Content

Abstract

Objective: To compare the analgesic efficacy and adverse effects between ultrasound-guided fascia iliaca compartment block and intrathecal Morphine in patients after proximal femoral fracture surgery.


Subjects and methods: A clinical trial was conducted on 60 patients undergoing proximal femoral surgery at Hue University of Medicine and Pharmacy Hospital from April 2024 to August 2025. Patients in the intervention group received fascia iliaca compartment block above the inguinal ligament using 0.25% Levobupivacaine. Pain was assessed using the VAS, along with evaluation of adverse effects, rescue Morphine consumption, and patient satisfaction within 24 hours postoperatively.


Results: Fascia iliaca compartment block above the inguinal ligament provided effective analgesia, with mean resting and movement VAS scores at all time points being below 4. The mean 24-hour rescue Morphine consumption was 5.0 ± 0.74 mg, with a mean time to first rescue dose of 10.83 ± 5.37 hours. Patient satisfaction (satisfied or very satisfied) with analgesia was significantly higher in the intervention group (63,3%) compared with the control group (30%).


Conclusion: Ultrasound-guided fascia iliaca compartment block is an effective and safe analgesic method after femoral neck fracture surgery, and may reduce the adverse effects, and improving patient stisfaction compared with intrathecal Morphine.

Article Details

Keywords

Fascia iliaca compartment block, intrathecal Morphine, postoperative analgesia, femoral neck fracture.

References

[1] Chou R et al. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain, 2016, 17 (2), p. 131-57.
[2] Desmet M et al. A Longitudinal Supra-Inguinal Fascia Iliaca Compartment Block Reduces Morphine Consumption After Total Hip Arthroplasty. Reg Anesth Pain Med, 2017, 42 (3), p. 327-333.
[3] Eshag M.M.E et al. Fascia iliaca compartment block for postoperative pain after total hip arthroplasty: a systematic review and meta-analysis of randomized controlled trials. BMC Anesthesiol, 2024, 24 (1), p. 95.
[4] Macario A et al. Which clinical anesthesia outcomes are important to avoid? The perspective of patients. Anesth Analg, 1999, 89 (3), p. 652-8.
[5] Jonathan Major, Madankumar Narayanan. Fascia Iliaca compartment block: An Update, 2023.
[6] Menzies I.B et al. The impact of comorbidity on perioperative outcomes of hip fractures in a geriatric fracture model. Geriatr Orthop Surg Rehabil, 2012, 3 (3), p. 129-34.
[7] Morrison S.R et al. The impact of post-operative pain on outcomes following hip fracture, Pain, 2003, 103 (3), p. 303-311.
[8] Wan H.Y et al. Fascia iliaca compartment block for perioperative pain management of geriatric patients with hip fractures: A systematic review of randomized controlled trials. Pain Res Manag, 2020, p. 8503963.
[9] Cao Thị Hằng và cộng sự. Đánh giá hiệu quả giảm đau sau phẫu thuật khớp háng của phương pháp gây tê khoang mạc chậu dưới hướng dẫn của siêu âm. Tạp chí Y học Việt Nam, 2024, 544 (3), tr. 63-67.
[10] Đoàn Quang Lộc, Phạm Quang Minh. So sánh hiệu quả giảm đau sau phẫu thuật thay khớp háng của phương pháp gây tê cơ vuông thắt lưng với gây tê khoang mạc chậu dưới hướng dẫn siêu âm. Tạp chí Y học Việt Nam, 2023, 23 (1), tr. 204-208.