Does Adding Posterior Block to SFIB Increase the Quality of Analgesia in Hip Fractures?

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

The researchers aimed to compare the effects of adding a Deep Posterior Gluteal Compartment Block to a Suprainguinal Fascia Iliaca Compartment Block (SFICB) versus SFICB alone on pain, analgesic consumption, and positioning pain for neuraxial anesthesia.

Adding Deep Posterior Gluteal Compartment Block to Suprainguinal Fascia Iliaca Block applied before neuraxial anesthesia in hip fracture surgeries can reduce the pain sensation originating from the posterior region of the hip joint. Thus, participants can experience less pain in the perioperative period, consume less analgesics and reduce complications related to these in the postoperative period. In addition, possible complications can be prevented with early mobilization of the participants. It was aimed to compare the effects of adding Deep Posterior Gluteal Compartment Block to Suprainguinal Fascia Iliaca Block with only Suprainguinal Fascia Iliaca Block on these results.

Inclusion Criteria:

• Volunteering to participate in the study
• Patients between the ages of 18-90
• ASA I, II, III
• Patients whose surgery duration does not exceed 2 hours
• Patients who will undergo surgery under spinal anesthesia

Exclusion Criteria:

• Patients who do not want to participate in the study/do not give consent
• Patients with a condition that prevents regional anesthesia
• Patients with cognitive dysfunction who are unable to evaluate the NRS score and who cannot use PCA (Patient Controlled Analgesia Device)
• History of hypersensitivity or allergy to local anesthetics
• Patients with psychiatric disorders and those using psychiatric medications
• Presence of hematological disease
• Presence of oncological disease
• Patients with serious major organ failure
• Presence of multiple fractures
• Patients with alcohol or drug addiction
• Patients who have used analgesic drugs up to 12 hours before surgery
• ASA IV-V patients
• Morbidly obese patients