Tarekegn Fantahun, Sisay Amanuel
Department of Anesthesia, Bahir Dar University, Ethiopia.
Ann Med Surg (Lond). 2021 Aug 23;69:102758. doi: 10.1016/j.amsu.2021.102758. eCollection 2021 Sep.
The main objective of this study was to resolve fascia iliaca compartment block controversies by putting the currently available evidences applied for knee, femoral shaft, and hip bone injury or related to surgery.
The databases PubMed, Cochrane Review, and Google Scholar were searched without regard to language or publication type for fascia iliaca compartment block before December 2020. After eligibility sorting and duplicate removal, a total of 26,609 articles were identified, with 21 of them being included for review.
In the emergency department, fascia iliaca compartment block (FICB) has now become the standard of practice. Various evidence suggested that 20-40 ml of local anesthetic was required for an effective block in adult patients.
For the knee, femoral bone, and hip region surgery, the fascia iliaca compartment block (FICB) provided better anesthesia quality, reduced systemic morphine consumption, and had fewer complications than epidural anesthesia. Anesthetists and surgical department staff should promote the FICB's benefits by emphasizing its superiority in pain management.
本研究的主要目的是通过运用目前可得的适用于膝关节、股骨干和髋骨损伤或与手术相关的证据，解决髂筋膜间隙阻滞的争议问题。
检索了PubMed、Cochrane系统评价和谷歌学术数据库，检索时间截至2020年12月，不考虑语言或出版物类型，检索关于髂筋膜间隙阻滞的文献。经过资格筛选和重复文献剔除后，共识别出26,609篇文章，其中21篇被纳入综述。
在急诊科，髂筋膜间隙阻滞（FICB）现已成为标准操作。各种证据表明，成年患者有效阻滞需要20 - 40毫升局部麻醉药。
对于膝关节、股骨和髋部手术，髂筋膜间隙阻滞（FICB）比硬膜外麻醉提供了更好的麻醉质量，减少了全身吗啡用量，且并发症更少。麻醉医生和外科科室工作人员应通过强调其在疼痛管理方面的优势来推广FICB的益处。
