OTA 2020: Preoperative FICB Improves Patient Satisfaction and Reduces Opioid Use After Hip Surgery .
Fascia Iliaca Block Decreases Hip Fracture Postoperative Opioid Consumption: A Prospective Randomized Controlled Trial
A total of 46 patients undergoing hip surgery were randomized into receiving pre-operative fascia iliaca compartment block (FICB) and a standard post-operative pain regimen or a standard post-operative pain regimen only. The primary outcome of interest was consumption of pain medication (acetaminophen, tramadol, morphine) post-surgery. Secondary outcomes of interest included functional recovery and patient satisfaction. All outcomes were measured up to post-operative day (POD) day 3. No significant differences in acetaminophen for mild pain or tramadol for moderate pain were observed between the FICB and control groups. Morphine consumption for severe pain was 0.4mg in the FICB group and 19.4mg in the control group (p=0.05). However, the FICB group reported a statistically significantly higher patient-reported satisfaction score compared to the control group (p=0.01).
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