Evidence map›Paper›PMID 34064427›Full record

Trial reportInternational journal of environmental research and public health2021

Effectiveness of Fascia Iliaca Compartment Block after Elective Total Hip Replacement: A Prospective, Randomized, Controlled Study.

Wojciech Gola, Szymon Bialka, Aleksander J Owczarek, Hanna Misiolek

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04690647 (The Efficacy of Ultrasound Guided Suprainguinal Fascia Iliaca Compartment Block for Acute Paint Control After Elective Total Hip Replacement Using Postero-lateral Approach), which is not on this map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04690647 nacompletednot on this map

The Efficacy of Ultrasound Guided Suprainguinal Fascia Iliaca Compartment Block for Acute Paint Control After Elective Total Hip Replacement Using Postero-lateral Approach

TypeinterventionalSponsorSaint Lucas Hospital, PolandRan2018 to 2019Enrolled150ConditionsAnesthesia, Local, Analgesia, Arthropathy of HipArmsOpioid and non opioid postoperative analgesia., Fascia iliaca compartment block, Dexamethasone
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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  19. Advancing pain management for extremity trauma: the evolution of ultrasound-guided nerve blocks for patients in the supine position in trauma centers.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Wojciech GolaDepartment of Anaesthesia and Intensive Care, Saint Lucas Hospital, Konskie 26-200, Poland.ORCID 0000-0002-1083-7440
Szymon BialkaIntensive Care and Emergency Medicine, Department of Anaesthesiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice 40-055, Poland.ORCID 0000-0002-5923-2469
Aleksander J OwczarekHealth Promotion and Obesity Management Unit, Department of Pathophysiology, Medical Faculty in Katowice, Medical University of Silesiain, Katowice 40-055, Poland.ORCID 0000-0003-1179-6932
Hanna MisiolekIntensive Care and Emergency Medicine, Department of Anaesthesiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice 40-055, Poland.
Medical University of Silesia · PLJan Kochanowski University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAn assessment of the feasibility of fascia iliaca compartment block (FICB) combined with nonopioid analgesics and patient controlled analgesia (PCA), oxycodone, in the perioperative anaesthetic management for elective total hip replacement (THR).

designA randomised, single-center, open-label study.

settingA single hospital. The study was conducted from October 2018 to May 2019.

participantsIn total, 109 patients were scheduled for elective total hip replacement.

interventionsPostoperative FICB with 0.375% ropivacaine in conjunction with nonopioid analgesics (paracetamol, metamizole, and pregabalin) and oxycodone as rescue analgesia. MEASUREMENTS: Pain intensity was measured using the Numeric Pain Rating Scale (NRS) at rest and during rehabilitation, the total dose of postoperative oxycodone required, the occurrence of opioid-related adverse events, patient hospitalisation time, and level of satisfaction. Follow-up period: 48 h. MAIN

resultsA total of 109 patients were randomised into two groups and, of these, 9 were subsequently excluded from the analysis (three conversions to general anaesthesia, two failures to perform FICB, four failures to use the PCA pump). Patients in the FICB group received standard intravenous analgesia with FICB, and those in the control group were managed with standard intravenous analgesia only. Pain level measured with NRS was significantly lower at rest and during rehabilitation in the FICB group. Oxycodone use in the first 48 h was significantly higher in the control group (

conclusionsFICB in elective THR treatments is an effective form of analgesia, which reduces the need for opioids, the number of complications, the length of hospitalisation, and which ensures a high level of patient satisfaction with the analgesic treatment used.

trial registrationClinicalTrials.gov No. NCT04690647.

Indexed as

Arthroplasty, Replacement, HipNerve BlockFasciaHumansPain ManagementProspective Studiesfascia iliaca compartment blockmultimodal analgesiaregional anesthesiatotal hip replacement

Identifiers

PMID34064427
PMCPMC8124308
OpenAlexW3157860465

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.