Evidence map›Paper›PMID 38762396›Full record

Trial reportBritish journal of anaesthesia2024

Ultrasound-guided suprainguinal fascia iliaca compartment block and early postoperative analgesia after total hip arthroplasty: a randomised controlled trial.

Ben Safa, Hawn Trinh, Andrew Lansdown, Paul G McHardy, Jeffrey Gollish, Alex Kiss, Lilia Kaustov, Stephen Choi

3 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of anaesthesia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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.

NCT03069183 phase2 / phase3completednot on this map

The Efficacy of Ultrasound-guided Suprainguinal Fascia Iliaca Compartment Block on Early Post-operative Analgesia After Total Hip Arthroplasty

TypeinterventionalSponsorSunnybrook Health Sciences CentreRan2018 to 2022Enrolled133ConditionsArthritis of HipArms0.5% Ropivacaine, Normal saline
NCT06838156 nacompletednot on this map

Comparison of Analgesic Efficacy of Quadratus Lumborum Type 3 and Suprainguinal Fascia Iliaca Compartment Block in Total Hip Arthroplasty Surgery: A Randomized Controlled Trial

TypeinterventionalSponsorBaşakşehir Çam & Sakura City HospitalRan2023 to 2023Enrolled60ConditionsOpioid Consumption, Pain PostoperativeArmsBupivacain
NCT06839742 nacompletednot on this mapstarted 2025, after this paper: background citation

Does the Addition of a Deep Posterior Gluteal Compartment Block to Suprainguinal Fascia Iliaca Block Improve Analgesia in Hip Fracture Surgery? A Randomized Controlled Trial

TypeinterventionalSponsorSamsun UniversityRan2025 to 2025Enrolled68ConditionsAcute Pain Management, Hip SurgeryArmsDeep Posterior Gluteal Compartment Block, Suprainguinal fascia iliaca compartment block
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

8 authors.

Ben SafaDepartment of Anesthesia, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada. Electronic address: ben.safa@sunnybrook.ca.
Hawn TrinhUniversity of New South Wales, Sydney, NSW, Australia.
Andrew LansdownRoyal Prince Alfred Hospital, Sydney, NSW, Australia.
Paul G McHardyDepartment of Anesthesia, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Jeffrey GollishDivision of Orthopaedic Surgery, Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Alex KissInstitute for Evaluative Clinical Sciences, University of Toronto, Toronto, ON, Canada.
Lilia KaustovDepartment of Anesthesia, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Stephen ChoiDepartment of Anesthesia, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada. Electronic address: stephen.choi@sunnybrook.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHip replacement surgery can be painful; postoperative analgesia is crucial for comfort and to facilitate recovery. Regional anaesthesia can reduce pain and postoperative opioid requirements. The role of ultrasound-guided suprainguinal fascia iliaca block for analgesia after elective total hip arthroplasty is not well defined. This randomised trial evaluated its analgesic efficacy.

methodsConsenting participants (134) scheduled for elective primary total hip arthroplasty under spinal anaesthesia were randomly allocated to receive ultrasound-guided fascia iliaca block with ropivacaine 0.5% or sham block with saline. The primary outcome was opioid consumption in the first 24 h after surgery. Additional outcomes included pain scores at 4, 8, 12, and 16 h, opioid-related side-effects (nausea, vomiting, pruritis), ability to perform physiotherapy on the first postoperative day, and physiotherapist-assessed quadriceps weakness.

resultsThere were no significant differences in 24-h opioid consumption (block vs sham block, mean difference -3.2 mg oral morphine equivalent, 95% confidence interval -15.3 to 8.1 mg oral morphine equivalent, P=0.55) or any other prespecified outcomes.

conclusionsIn patients undergoing primary total hip arthroplasty, ultrasound-guided suprainguinal fascia iliaca block with ropivacaine did not confer a significant opioid-sparing effect compared with sham block. There were no differences in other secondary outcomes including pain scores, opioid-related side-effects, or ability to perform physiotherapy on the first postoperative day. CLINICAL

trial registrationwww. CLINICALTRIALS: gov (NCT03069183).

Indexed as

Analgesics, OpioidArthroplasty, Replacement, HipFasciaNerve BlockPostoperative PainUltrasonography, InterventionalAgedAged, 80 and overAnesthetics, LocalDouble-Blind MethodFemaleHumansMaleMiddle AgedRopivacaineTreatment OutcomeAnalgesics, OpioidAnesthetics, LocalRopivacainefascia iliaca blockhip arthroplastyregional anaesthesiasuprainguinalultrasound-guided

Identifiers

PMID38762396
PMCPMC11213984

What OpenQuestion holds

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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.