Fasya iliaka kompartman bloğu için en uygun lokal anestezik volümü: Üç farklı volümün karşılaştırılması / Resourche of optimal local anesthetic volume for fascia iliaca compartment block (FİCB): Three different volumes

Abstract

OBJECTIVE: Fascia iliaca compartment block (FICB) is a recently preferred block to reduce postoperative pain in lower extremity surgeries. In our study, we aimed to find the most effective pain-reducing volume of FICB with USG in patients with total hip arthroplasty. MATERIALS AND METHODS: After the approval of the ethics committee, 45 ASA I-II-III patients with total hip arthroplasty were included in the study. All patients underwent general anesthesia and were maintained with inhalation anesthesia. The patients were divided into three groups with closed envelope extraction method. LA solution was prepared in 30 ml in Group 1, 40 ml in Group 2 and 50 ml in Group 3. FICB was performed with suprainguinal approach with USG in supine position at the end of the operation. In the recovery room, tramadoll iv-PCA device was connected to the patients. VAS≤5 until the recovery room, patients were made to patients requiring additional analgesics were followed. The compilation of input patient rooms, 1, 6, 12, 18, 24 hours VAS, satisfaction surveys and tramadol consumption values were recorded. RESULTS: Our study was carried out on a total of 45 patients, ranging from 18 to 85 years, 10 (22.2%) males and 35 (77.8%) females. The mean age of the patients was 60.7 ± 11.30 years. Cases were examined under three groups of 15 persons. There was no statistically significant difference between age, weight, height, BMI and gender distributions and duration of anesthesia and mean duration of surgery according to the groups (p> 0.05). VAS values, total tramadol consumption levels, bolus numbers, and bolus numbers of the patients in Group 2 at the 1., 6., 12., 18. and 24. hours were found to be significantly higher than the group 3 (p<0.05). No complication was observed in all three groups. CONCLUSION: FICB is an effective compartment block providing postoperative analgesia in total hip arthroplasty. In this study, the lowest pain scores and analgesic requirement were obtained in the group using 40 ml LA containing 2 mg/kg bupivacaine.