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ASSEMENT ANALGESIC EFFICACY OF FASCIA ILIACA COMPARTMENT BLOCK BY CONTINUOUS INFUSION BUPIVACAINE AFTER HIP JOINT REPLACEMENT SURGERY
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Abstract
Objectives: To evaluate the analgesic efficacy of fascia iliaca compartment block by continuous infusion of bupivacaine after hip joint replacement surgery. Methods: Prospective study on 71 patients underwent hip joint replacement surgery under spinal anesthesia at District 11 Hospital, Ho Chi Minh City, from March 2021 to March 2022. Patients receive postoperative pain relief by continuously the fascia iliaca compartment block under ultrasound guidance. Results: Postoperative pain relief effectiveness is high; the average VAS score at rest is always lower than 2, and when mobilized, is lower than 4. The mean of VAS scores variation at rest (0.6 ± 1; 1.7 ± 1.3) and mobilized (2.5 ± 0.9; 3.6 ± 1.4) at all time points (T1-T6) which was significantly lower than that at T0 (p< 0.05). There was 98.6% of cases satisfied with the pain relief effect after surgery. Conclusion: The fascia iliaca compartment block by continuous infusion of bupivacaine is a good analgesic modality in patients undergoing hip replacement surgery.
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Keywords
Hip replacement, fascia iliaca compartment block
References
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