Fascia iliaca compartment block versus intravenous analgesic for positioning of femur fracture patients before a spinal block A PRISMA-compliant meta-analysis

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2 Citations (Scopus)

Abstract

Background: Fascia iliaca compartment block (FICB) provides an analgesic option for positioning before spinal anesthesia in patients suffering from a femur fracture. The evidence supporting FICB is still not well established. The aim of our study is to assess the efficacy and safety of FICB comparing with intravenous analgesic (IVA) on the quality for positioning before spinal anesthesia in participants with a femur fracture. Methods: PubMed, Embase, and Scopus databases were interrogated from their inceptions to September 2017. We included randomized controlled studies reported as full text, those published as abstracts only and unpublished data, if available. Data were independently extracted by 2 reviewers and synthesized using a random-effects model. Main Results: Three studies comprising 141 participants showed that FICB compared to IVA led to a significant between-group standard mean differences in quality during positioning within 30 minutes before spinal anesthesia (standardized mean difference (SMD) 2.02, 95% confidence interval (CI): 2.43 to 1.61, I 2 = 0%) and time for spinal anesthesia (pooled mean difference (PMD) 2.86 minutes, 95% CI 3.70 to 2.01, I 2 = 0%). Two studies with 101 participants suggested that FICB is superior to IVA on opioid requirements 24 hours postoperatively (pooled odds ratio (POR): 0.11, 95% CI: 0.03 to 0.35, I 2 = 13%). There were no significant differences in complications or hemodynamic effects Conclusions: Comparing with IVA, FICB can provide significantly better quality during positioning of femur fracture patients for a spinal block and a shorter time for spinal anesthesia. FICB is safe method.

Original languageEnglish
Article numbere13502
JournalMedicine (United States)
Volume97
Issue number49
DOIs
Publication statusPublished - Dec 1 2018

Fingerprint

Fascia
Femur
Analgesics
Meta-Analysis
Spinal Anesthesia
Confidence Intervals
PubMed
Opioid Analgesics
Hemodynamics
Odds Ratio
Databases
Safety

Keywords

  • Analgesic
  • Fascia iliaca compartment block
  • Fracture

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{ac817c8bd17744669a5aeb2b6d9d8c9b,
title = "Fascia iliaca compartment block versus intravenous analgesic for positioning of femur fracture patients before a spinal block A PRISMA-compliant meta-analysis",
abstract = "Background: Fascia iliaca compartment block (FICB) provides an analgesic option for positioning before spinal anesthesia in patients suffering from a femur fracture. The evidence supporting FICB is still not well established. The aim of our study is to assess the efficacy and safety of FICB comparing with intravenous analgesic (IVA) on the quality for positioning before spinal anesthesia in participants with a femur fracture. Methods: PubMed, Embase, and Scopus databases were interrogated from their inceptions to September 2017. We included randomized controlled studies reported as full text, those published as abstracts only and unpublished data, if available. Data were independently extracted by 2 reviewers and synthesized using a random-effects model. Main Results: Three studies comprising 141 participants showed that FICB compared to IVA led to a significant between-group standard mean differences in quality during positioning within 30 minutes before spinal anesthesia (standardized mean difference (SMD) 2.02, 95{\%} confidence interval (CI): 2.43 to 1.61, I 2 = 0{\%}) and time for spinal anesthesia (pooled mean difference (PMD) 2.86 minutes, 95{\%} CI 3.70 to 2.01, I 2 = 0{\%}). Two studies with 101 participants suggested that FICB is superior to IVA on opioid requirements 24 hours postoperatively (pooled odds ratio (POR): 0.11, 95{\%} CI: 0.03 to 0.35, I 2 = 13{\%}). There were no significant differences in complications or hemodynamic effects Conclusions: Comparing with IVA, FICB can provide significantly better quality during positioning of femur fracture patients for a spinal block and a shorter time for spinal anesthesia. FICB is safe method.",
keywords = "Analgesic, Fascia iliaca compartment block, Fracture",
author = "Hsu, {Yuan Pin} and Hsu, {Chin Wang} and Bai, {Chyi Huey} and Cheng, {Sheng Wei} and Chiehfeng Chen",
year = "2018",
month = "12",
day = "1",
doi = "10.1097/MD.0000000000013502",
language = "English",
volume = "97",
journal = "Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries",
issn = "0025-7974",
publisher = "Lippincott Williams and Wilkins",
number = "49",

}

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T1 - Fascia iliaca compartment block versus intravenous analgesic for positioning of femur fracture patients before a spinal block A PRISMA-compliant meta-analysis

AU - Hsu, Yuan Pin

AU - Hsu, Chin Wang

AU - Bai, Chyi Huey

AU - Cheng, Sheng Wei

AU - Chen, Chiehfeng

PY - 2018/12/1

Y1 - 2018/12/1

N2 - Background: Fascia iliaca compartment block (FICB) provides an analgesic option for positioning before spinal anesthesia in patients suffering from a femur fracture. The evidence supporting FICB is still not well established. The aim of our study is to assess the efficacy and safety of FICB comparing with intravenous analgesic (IVA) on the quality for positioning before spinal anesthesia in participants with a femur fracture. Methods: PubMed, Embase, and Scopus databases were interrogated from their inceptions to September 2017. We included randomized controlled studies reported as full text, those published as abstracts only and unpublished data, if available. Data were independently extracted by 2 reviewers and synthesized using a random-effects model. Main Results: Three studies comprising 141 participants showed that FICB compared to IVA led to a significant between-group standard mean differences in quality during positioning within 30 minutes before spinal anesthesia (standardized mean difference (SMD) 2.02, 95% confidence interval (CI): 2.43 to 1.61, I 2 = 0%) and time for spinal anesthesia (pooled mean difference (PMD) 2.86 minutes, 95% CI 3.70 to 2.01, I 2 = 0%). Two studies with 101 participants suggested that FICB is superior to IVA on opioid requirements 24 hours postoperatively (pooled odds ratio (POR): 0.11, 95% CI: 0.03 to 0.35, I 2 = 13%). There were no significant differences in complications or hemodynamic effects Conclusions: Comparing with IVA, FICB can provide significantly better quality during positioning of femur fracture patients for a spinal block and a shorter time for spinal anesthesia. FICB is safe method.

AB - Background: Fascia iliaca compartment block (FICB) provides an analgesic option for positioning before spinal anesthesia in patients suffering from a femur fracture. The evidence supporting FICB is still not well established. The aim of our study is to assess the efficacy and safety of FICB comparing with intravenous analgesic (IVA) on the quality for positioning before spinal anesthesia in participants with a femur fracture. Methods: PubMed, Embase, and Scopus databases were interrogated from their inceptions to September 2017. We included randomized controlled studies reported as full text, those published as abstracts only and unpublished data, if available. Data were independently extracted by 2 reviewers and synthesized using a random-effects model. Main Results: Three studies comprising 141 participants showed that FICB compared to IVA led to a significant between-group standard mean differences in quality during positioning within 30 minutes before spinal anesthesia (standardized mean difference (SMD) 2.02, 95% confidence interval (CI): 2.43 to 1.61, I 2 = 0%) and time for spinal anesthesia (pooled mean difference (PMD) 2.86 minutes, 95% CI 3.70 to 2.01, I 2 = 0%). Two studies with 101 participants suggested that FICB is superior to IVA on opioid requirements 24 hours postoperatively (pooled odds ratio (POR): 0.11, 95% CI: 0.03 to 0.35, I 2 = 13%). There were no significant differences in complications or hemodynamic effects Conclusions: Comparing with IVA, FICB can provide significantly better quality during positioning of femur fracture patients for a spinal block and a shorter time for spinal anesthesia. FICB is safe method.

KW - Analgesic

KW - Fascia iliaca compartment block

KW - Fracture

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