Wang YL, Liu YQ, Ni H, Zhang XL, Ding L, Tong F, Chen HY, Zhang XH, Kong MJ. Ultrasound-guided, direct suprainguinal injection for fascia iliaca block for total hip arthroplasty: A retrospective study. World J Clin Cases 2021; 9(15): 3567-3575 [PMID: 34046456 DOI: 10.12998/wjcc.v9.i15.3567]
Corresponding Author of This Article
Ming-Jian Kong, PhD, Doctor, Department of Anesthesiology, The Second Affiliated Hospital of Xuzhou Medical University, No. 32 Meijian Road, Quanshan District, Xuzhou 221000, Jiangsu Province, China. mjkong@126.com
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. May 26, 2021; 9(15): 3567-3575 Published online May 26, 2021. doi: 10.12998/wjcc.v9.i15.3567
Table 1 Characteristics of the patients
Characteristics
No-block group (n = 15)
Block group (n = 16)
P value
Age (yr)
80.1 ± 4.2
79.6 ± 4.2
0.740
Body mass index (kg/m2)
22.4 ± 2.3
22.2 ± 2.2
0.739
Male/female
10/5
10/6
0.553
ASA II/III
11/4
10/6
0.398
Duration of surgery (min)
60.3 ± 6.9
59.5 ± 8.3
0.747
Table 2 The use of intraoperative and postoperative analgesics
Analgesics
No-block group (n = 15)
Block group (n = 16)
P value
Intraoperative remifentanil dose (μg)
316.0 ± 62.5
103 ± 37.9
< 0.01
Fentanyl given by intravenous titration in the PACU (μg)
22 ± 8.6
1.9 ± 4.0
< 0.01
Fentanyl consumption by PCIA device in 48 h after operation (μg)
406.6 ± 70.9
204.3 ± 43.0
< 0.01
Table 3 Postoperative visual analog scale during rest and movement
Postoperative time (d)
VAS during rest
VAS during movement
No-block group (n = 15)
Block group (n = 16)
P value
No-block group (n = 15)
Block group (n = 16)
P value
1st
3.6 ± 0.5
2.7 ± 0.4
< 0.01
4.9 ± 0.7
3.4 ± 0.5
0.011
2nd
3.4 ± 0.6
3.0 ± 0.6
< 0.01
4.2 ± 0.8
3.4 ± 0.5
0.002
Table 4 Complications and adverse events
Complications and adverse events
No-block group (n = 15)
Block group (n = 16)
P value
Dizziness, n (%)
6 (40)
1 (6.25)
0.037
Postoperative nausea and vomiting, n (%)
3 (20)
1 (6.25)
0.333
Respiratory depression, n (%)
0
0
/
Severe sedation, n (%)
0
0
/
Citation: Wang YL, Liu YQ, Ni H, Zhang XL, Ding L, Tong F, Chen HY, Zhang XH, Kong MJ. Ultrasound-guided, direct suprainguinal injection for fascia iliaca block for total hip arthroplasty: A retrospective study. World J Clin Cases 2021; 9(15): 3567-3575