Lumbar Erector Spinae Block Vs Infrainguinal Fascia Iliaca Compartment Block For THA .
Lumbar erector spinae plane block versus infrainguinal fascia iliaca compartment block for pain management after total hip arthroplasty: a randomized clinical trial.
Pain Med . 2024 Apr 3;25(4):257-262.Sixty patients undergoing total hip arthroplasty were randomized to receive either an ultrasound-guided infrainguinal fascia iliaca compartment (FIC) block (n=30) or an erector spinae plane (ESP) block (n=30). Outcomes of interest included postoperative pain scores, opioid consumption, demand for rescue analgesics, adverse effects related to opioids, and block-related complications. Outcomes were assessed up to 24 hours post-surgery. Overall, the results revealed that the ESP block group had significantly lower dynamic pain scores in the first postoperative hour and lower opioid consumption within the first 8 hours compared to the FIC block group. The study concluded that both blocks provided similar analgesia over 24 hours, but the ESP block was more beneficial in the early postoperative period.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics