Evidence map›Paper›PMID 38741444›Full record

Trial reportAnaesthesiology intensive therapy2024

Ultrasound-guided suprainguinal fascia iliaca block to position the patient for neuraxial anaesthesia in acetabular surgery - a randomized controlled pilot study.

Fathima Mohammed Ali, Arshad Ayub, Vanlal Darlong, Ravinder Kumar Pandey, Jyotsana Punj, Vijay Sharma

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Anaesthesiology intensive therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07556614 (Preoperative Supra-inguinal Fascia Iliaca Block for Positioning Analgesia in Hip Fracture Patients Undergoing Spinal Anesthesia), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07556614 phase4completednot on this mapstarted 2025, after this paper: background citation

Preoperative Supra-inguinal Fascia Iliaca Block for Positioning Analgesia in Hip Fracture Patients Undergoing Spinal Anesthesia: A Randomized Controlled Trial

TypeinterventionalSponsorGhurki Trust and Teaching HospitalRan2025 to 2025Enrolled132ConditionsHip Fractures, Supra-inguinal Fascia Iliaca Block, Spinal AnesthesiaArmsIsobaric bupivacaine 0.5%
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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

6 authors.

Fathima Mohammed AliDepartment of Anaesthesia, All India Institute of Medical Sciences (AIIMS), Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi, Delhi, India.
Arshad AyubDepartment of Anaesthesia, All India Institute of Medical Sciences (AIIMS), Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi, Delhi, India.
Vanlal DarlongDepartment of Anaesthesia, All India Institute of Medical Sciences (AIIMS), Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi, Delhi, India.
Ravinder Kumar PandeyDepartment of Anaesthesia, All India Institute of Medical Sciences (AIIMS), Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi, Delhi, India.
Jyotsana PunjDepartment of Anaesthesia, All India Institute of Medical Sciences (AIIMS), Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi, Delhi, India.
Vijay SharmaDepartment of Orthopaedics, Jaiprakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences (AIIMS), Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi, Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeuraxial anaesthesia is a common choice for most hip and lower limb operations. Pain associated with positioning is often a deterrent, and the vast literature suggests different regional blocks and opioids for these patients. Patients with acetabular fractures may experience increased pain, and thus are more difficult to position for the neuraxial block. We conducted a randomized controlled pilot study to assess and compare the analgesic efficacy of ultrasound-guided suprainguinal fascia iliaca block (SFICB) versus systemic fentanyl to facilitate positioning for combined spinal epidural (CSE) anaesthesia in patients undergoing acetabular fracture surgery. MATERIAL AND

methodsTwenty patients referred for surgical repair of acetabular fractures were randomly assigned to receive either ultrasound-guided SFICB (group B) or intravenous fentanyl (group F). Changes in visual analogue scale (VAS) scores in supine and sitting position, improvement in sitting angle (SA), positioning quality, rescue analgesic requirement, total opioid consumption, comfort VAS scores, and complications were noted to compare both groups.

resultsThe post-intervention VAS score in the sitting position was significantly lower in group B than in group F (5.9 ± 2.1 vs. 3.5 ± 1.5, P = 0.01). Group B also had more significant improvement in SA (27.5° (20.75-36.5°), in comparison to group F (10 (5-18.75), P = 0.006). The positioning quality was better in group B, with 70% of patients achieving an optimal position compared to only 10% in group F ( P = 0.02).

conclusionsUltrasound-guided SFICB, as compared to systemic fentanyl, provided better analgesia and helped to achieve a better and more comfortable position to perform the neuraxial block.

Indexed as

AcetabulumFentanylNerve BlockPatient PositioningUltrasonography, InterventionalAdultAnalgesics, OpioidAnesthesia, EpiduralAnesthesia, SpinalFasciaFemaleFractures, BoneHumansMaleMiddle AgedPain MeasurementAnalgesics, OpioidFentanylacetabular fracturesneuraxial positioningsuprainguinal fascia iliaca block

Identifiers

PMID38741444
PMCPMC11022634

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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.