The Efficacy of Suprainguinal Fascia Iliaca Compartment Block for Analgesia After Elective Total Hip Replacement.

The Efficacy of Ultrasound Guided Suprainguinal Fascia Iliaca Compartment Block for Acute Paint Control After Elective Total Hip Replacement Using Postero-lateral Approach

Total hip replacement surgery is one of the most common orthopedic interventions. Proper anaesthesia and adequate analgesia is one of the key interests of attending anaesthetist. Recent studies show that ultrasound guided suprainguinal fascia iliaca compartment block may play a significant role in proper management of pain after these procedures. The aim of this study was to assess the clinical usefulness and compare different methods of anaesthesia for total hip replacement surgery via posterolateral approach.

Inclusion Criteria:

• age 18-75 years old
• informed consent to participate in the study
• ASA score I-III
• BMI -19-30kg/m2
• qualified for total hip replacement
• no contraindication to used anesthesia and drugs

Exclusion Criteria:

• contraindications to spinal anesthesia and regional blocks
• previously coexisting chronic pain
• previously opioids intake
• BMI>30kg/m2
• allergy to drugs using during study
• mental status preventing the usage of patient controlled analgesia pump