Efficacy of Suprainguinal Fascia Iliaca Block for Pain Management in Hip Surgeries: A Narrative Review

Anger M, Valovska T, Beloeil H, Lirk P, Joshi GP, Van de Velde M, Raeder J, PROSPECT Working Group* and the European Society of Regional Anaesthesia and Pain Therapy, Joshi GP, Pogatzki‐Zahn E, Van de Velde M. PROSPECT guideline for total hip arthroplasty: a systematic review and procedure‐specific postoperative pain management recommendations. Anaesthesia. 2021;76(8):1082-97. https://doi.org/10.1111/anae.15498.

Morrison C, Brown B, Lin DY, Jaarsma R, Kroon H. Analgesia and anesthesia using the pericapsular nerve group block in hip surgery and hip fracture: a scoping review. Reg Anesth Pain Med. 2021;46(2):169–75. https://doi.org/10.1136/rapm-2020-101826corr1.

Article  PubMed  Google Scholar 

Hernández C, Díaz-Heredia J, Berraquero ML, Crespo P, Loza E, Ruiz Ibán MÁ. Pre-operative predictive factors of post-operative pain in patients with hip or knee arthroplasty: a systematic review. Reumatol Clin. 2015;11(6):361–80. https://doi.org/10.1016/j.reuma.2014.12.008.

Article  PubMed  Google Scholar 

Passias BJ, Johnson DB, Schuette HB, Secic M, Heilbronner B, Hyland SJ, Sager A. Preemptive multimodal analgesia and post-operative pain outcomes in total hip and total knee arthroplasty. Arch Orthop Trauma Surg. 2023;143(5):2401–7. https://doi.org/10.1007/s00402-022-04450-0.

Article  PubMed  Google Scholar 

Chassery C, Atthar V, Marty P, Vuillaume C, Casalprim J, Basset B, De Lussy A, Naudin C, Joshi GP, Rontes O. Opioid-free versus opioid-sparing anaesthesia in ambulatory total hip arthroplasty: a randomised controlled trial. Br J Anaesth. 2024;132(2):352–8. https://doi.org/10.1016/j.bja.2023.10.031.

Article  CAS  PubMed  Google Scholar 

Aliste J, Layera S, Bravo D, Jara Á, Muñoz G, Barrientos C, Wulf R, Brañez J, Finlayson RJ, Tran Q. Randomized comparison between pericapsular nerve group (PENG) block and suprainguinal fascia iliaca block for total hip arthroplasty. Reg Anesth Pain Med. 2021;46(10):874–8. https://doi.org/10.1136/rapm-2021-102997.

Article  PubMed  Google Scholar 

Gürkan Y, Gedik CC, Darçın K, Manici M. Suprainguinal fascia iliaca block for distal femur tumor surgery. Agri. 2023;35(2):115–6. https://doi.org/10.14744/agri.2022.37029.

Article  PubMed  Google Scholar 

Kiss A, Kaustov L, Choi S. Ultrasound-guided suprainguinal fascia iliaca compartment block and early postoperative analgesia after total hip arthroplasty: a randomised controlled trial. Br J Anaesth. 2024;133(1):146–51. https://doi.org/10.1016/j.bja.2024.04.019.

Article  PubMed  PubMed Central  Google Scholar 

O’Reilly N, Desmet M, Kearns R. Fascia Iliaca compartment block. BJA Educ. 2019;19(6):191–7. https://doi.org/10.1016/j.bjae.2019.03.001.

Article  PubMed  PubMed Central  Google Scholar 

Refai NA, Black AC, Tadi P, Anatomy (2024) Bony Pelvis and Lower Limb: thigh femoral nerve. In: StatPearls. StatPearls Publishing. Accessed 9 October 2024. http://www.ncbi.nlm.nih.gov/books/NBK556065/

Okereke IC, Abdelmonem M. Fascia iliaca compartment block for hip fractures: improving clinical practice by audit. Cureus. 13(9):e17836. https://doi.org/10.7759/cureus.17836.

Liang L, Zhang C, Dai W, He K. Comparison between pericapsular nerve group (PENG) block with lateral femoral cutaneous nerve block and supra-inguinal fascia iliaca compartment block (S-FICB) for total hip arthroplasty: a randomized controlled trial. J Anesth. 2023;37(4):503–10. https://doi.org/10.1007/s00540-023-03192-6.

Article  PubMed  PubMed Central  Google Scholar 

Sekhon J, Jain R, Bansal K, Luthra N, Singh MR, Kumari B. Efficacy of different’ volumes of 0.2% ropivacaine in suprainguinal fascia iliaca compartment block for multimodal analgesia in lower limb surgery. Cureus. 2023;15(10):e46894. https://doi.org/10.7759/cureus.46894.

Article  PubMed  PubMed Central  Google Scholar 

Herman MM. A33 ultrasound-guided fascia iliaca block – Tips and tricksRegional. Anesth Pain Med. 2024;49:A406-10.

Google Scholar 

Chen L, Shen Y, Liu S, Cao Y, Zhu Z. Ultrasound-guided supra-inguinal fascia Iliaca compartment block for older adults admitted to the emergency department with hip fracture: a randomized controlled, double-blind clinical trial. BMC Geriatr. 2021;21:669. https://doi.org/10.1186/s12877-021-02646-4.

Article  PubMed  PubMed Central  Google Scholar 

Bansal K, Sharma N, Singh MR, Sharma A, Roy R, Sethi S. Comparison of suprainguinal approach with infrainguinal approach of fascia iliaca compartment block for postoperative analgesia. Indian J Anaesth. 2022;66(Suppl 6):S294–9. https://doi.org/10.4103/ija.ija_823_21.

Article  CAS  PubMed  PubMed Central  Google Scholar 

G MS. A modified fascia iliaca compartment block has significant morphine-sparing effect after total hip arthroplasty. Anaesth Intensive Care. 2007;35(6). https://doi.org/10.1177/0310057X0703500615.

Vermeylen K, Desmet M, Leunen I et al. Supra-inguinal injection for fascia iliaca compartment block results in more consistent spread towards the lumbar plexus than an infra-inguinal injection: a volunteer study. Reg Anesth Pain Med. Published online February 22, 2019:rapm-2018-100092. https://doi.org/10.1136/rapm-2018-100092

Ml R, E DK, Mf S, et al. Ultrasound guided supra-inguinal fascia iliaca compartment blocks in hip fracture patients: an alternative technique. Am J Emerg Med. 2020;38(2). https://doi.org/10.1016/j.ajem.2019.02.011.

Bali C, Ozmete O. Supra-inguinal fascia iliaca block in older-old patients for hip fractures: a retrospective study. Braz J Anesthesiol Elsevier. 2023;73(6):711–7. https://doi.org/10.1016/j.bjane.2021.08.008.

Article  Google Scholar 

Kopp SL, Børglum J, Buvanendran A, Horlocker TT, Ilfeld BM, Memtsoudis SG, Neal JM, Rawal N, Wegener JT. Anesthesia and analgesia practice pathway options for total knee arthroplasty: an evidence-based review by the american and European societies of regional anesthesia and pain medicine. Reg Anesth Pain Med 2017 Nov/Dec. 42(6):683–97. https://doi.org/10.1097/AAP.0000000000000673.

Horlocker TT. Pain management in total joint arthroplasty: a historical review. Orthopedics. 2010;33(9 Suppl):14–9. https://doi.org/10.3928/01477447-20100722-65.

Article  PubMed  Google Scholar 

Erlenwein J, Müller M, Falla D, Przemeck M, Pfingsten M, Budde S, Quintel M, Petzke F. Clinical relevance of persistent postoperative pain after total hip replacement - a prospective observational cohort study. J Pain Res. 2017;10:2183–93. https://doi.org/10.2147/JPR.S137892.

Article  PubMed  PubMed Central  Google Scholar 

Horn R, Hendrix JM, Kramer J. Postoperative pain control. InStatPearls [Internet] 2024 Jan 30. StatPearls Publishing.

Sampognaro G, Harrell R, Multimodal Postoperative Pain Control After Orthopaedic Surgery. 2023 Jan 29. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan.

Zhao J, Davis SP. An integrative review of multimodal pain management on patient recovery after total hip and knee arthroplasty. Int J Nurs Stud. 2019;98:94–106. https://doi.org/10.1016/j.ijnurstu.2019.06.010.

Article  PubMed  Google Scholar 

Steiness J, Hägi-Pedersen D, Lunn TH, Overgaard S, Brorson S, Graungaard BK, Lindberg-Larsen M, Varnum C, Lundstrøm LH, Beck T, Skettrup M, Pedersen NA, Bieder MJ, von Cappeln AG, Pleckaitiene L, Lindholm P, Bukhari SSH, Derby CB, Nielsen MG, Exsteen OW, Vinstrup LØ, Thybo KH, Gasbjerg KS, Nørskov AK, Jakobsen JC, Mathiesen O. RECIPE trial group. Non-opioid analgesic combinations following total hip arthroplasty (RECIPE): a randomised, placebo-controlled, blinded, multicentre trial. Lancet Rheumatol. 2024;6(4):e205-15. https://doi.org/10.1016/S2665-9913(24)00020-1.

Article  CAS  PubMed  Google Scholar 

Safa B, Trinh H, Lansdown A, McHardy PG, Gollish J, Kiss A, Kaustov L, Choi S. Ultrasound-guided suprainguinal fascia iliaca compartment block and early postoperative analgesia after total hip arthroplasty: a randomised controlled trial. Br J Anaesth. 2024;133(1):146–51. https://doi.org/10.1016/j.bja.2024.04.019.

Article  PubMed  PubMed Central  Google Scholar 

Gao Y, Tan H, Sun R, Zhu J. Fascia Iliaca compartment block reduces pain and opioid consumption after total hip arthroplasty: a systematic review and meta-analysis. Int J Surg. 2019;65:70–9. https://doi.org/10.1016/j.ijsu.2019.03.014.

Article  PubMed  Google Scholar 

Kumar K, Pandey RK, Bhalla AP, Kashyap L, Garg R, Darlong V, Malhotra R, Yadav CS. Comparison of conventional infrainguinal versus modified proximal suprainguinal approach of fascia iliaca compartment block for postoperative analgesia in total hip arthroplasty. A prospective randomized study. Acta Anaesthesiol Belg. 2015;66(3):95–100.

PubMed  Google Scholar 

Herijgers A, de Putte PV, Wallyn A, Hendrickx E, Schols G, Vermeylen K. B63 Suprainguinal fascia iliaca block for perioperative analgesia in total hip replacement: a retrospective analysis. Reg Anesth Pain Med. 2022;47(Suppl 1):A115–6. https://doi.org/10.1016/j.bpa.2019.03.004.

Article  Google Scholar 

Desmet M, Vermeylen K, Van Herreweghe I, Carlier L, Soetens F, Lambrecht S, Croes K, Van de Pottel H. A longitudinal supra-inguinal fascia iliaca compartment block reduces morphine consumption after total hip arthroplasty. Reg Anesth Pain Med. 2017;42(3):327–33. https://doi.org/10.1097/AAP.0000000000000543.

Article  CAS  PubMed  Google Scholar 

Azizoğlu M, Rumeli Ş. Comparison of the suprainguinal fascia iliaca compartment block with continuous epidural analgesia in patients undergoing hip surgeries: a retrospective study. Braz J Anesthesiol. 2022;72(3):342–9. https://doi.org/10.1016/j.bjane.2021.07.006.

Article  PubMed  Google Scholar 

Zheng T, Hu B, Zheng CY, Huang FY, Gao F, Zheng XC. Improvement of analgesic efficacy for total hip arthroplasty by a modified ultrasound-guided supra-inguinal fascia iliaca compartment block. BMC Anesthesiol. 2021;21(1):75. https://doi.org/10.1186/s12871-021-01296-8.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Li XD, Han C, Yu WL. Comparison of femoral nerve block and fascia iliaca block for proximal femoral fracture in the elderly patient: a meta-analysis. Geriatr Orthop Surg Rehabil. 2022;13:21514593221111650. https://doi.org/10.1177/21514593221111647.

Article  PubMed  PubMed Central 

Comments (0)

No login
gif