Implementation of the Obturator Nerve Block into a Supra-Inguinal Fascia Iliaca Compartment Block Based Analgesia Protocol for Hip Arthroscopy: Retrospective Pre-Post Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Implementation of Subpectineal Obturator Nerve Block
2.2. Data Collection
2.3. Supra-Inguinal Fascia Iliaca Compartment Block and Subpectineal Obturator Nerve Block
2.4. Anesthesia and Surgery
2.5. Outcome Measures
2.6. Sample Size Calculation and Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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F (N = 21) | FO (N = 19) | N (N = 47) | |
---|---|---|---|
Sex | |||
- Female | 10 (47.6%) | 10 (52.6%) | 22 (46.8%) |
- Male | 11 (52.4%) | 9 (47.4%) | 25 (53.2%) |
Age | 37.0 (27.0;52.0) | 38.0 (25.5;45.0) | 39.0 (26.0;47.0) |
Weight (kg) | 69.2 (61.2;77.0) | 67.9 (63.1;72.3) | 67.3 (57.6;77.6) |
Height (cm) | 166.0 (161.4;173.6) | 166.6 (161.0;171.2) | 167.1 (162.8;176.0) |
BMI (kg/m2) | 24.7 (23.3;26.8) | 24.8 (23.1;26.7) | 23.7 (21.8;25.8) |
Anesthesia time (min) | 165.7 ± 29.2 | 184.2 ± 29.9 | 178.0 ± 26.8 |
Operation time (min) | 138.0 ± 28.6 | 158.1 ± 27.6 | 156.5 ± 27.6 |
Hypertension | 1 (4.8%) | 2 (10.5%) | 7 (14.9%) |
F (N = 19) | FO (N = 16) | N (N = 42) | Overall p | FO vs. F (p adj.) | FO vs. N (p adj.) | F vs. N (p. adj.) | |
---|---|---|---|---|---|---|---|
Cumulative postoperative fentanyl consumption (µg) | |||||||
6 hours | 249.6 (161.3;350.3) | 163.0 (108.0;341.5] | 293.0 (210.6;385.0) | 0.028 | 0.256 | 0.028 | 0.258 |
12 hours | 372.6 (297.0;458.0) | 256.2 (186.1;420.0] | 402.0 (300.0;582.0) | 0.024 | 0.207 | 0.020 | 0.289 |
24 hours | 636.0 (426.8;803.0) | 482.8 (305.8;635.0] | 678.5 (444.0;890.0) | 0.018 | 0.066 | 0.014 | 0.598 |
F (N = 21) | FO (N = 19) | N (N = 47) | |||||
Intraoperative remifentanil dose (µg/kg/min) | 0.069 (0.056;0.075) | 0.059 (0.055;0.068] | 0.089 (0.069;0.102) | 0.001 | 0.320 | 0.003 | 0.004 |
F (N = 21) | FO (N = 19) | N (N = 47) | p | |
---|---|---|---|---|
Pain score during postoperative 24 hours | ||||
PACU | 4.0 (3.0;5.0) | 3.0 (2.0;4.0) | 4.0 (3.0;6.0) | 0.039 |
Lowest | 2.0 (2.0;2.0) | 2.0 (1.0;2.0) | 2.0 (2.0;2.5) | 0.039 |
Highest | 4.0 (3.0;6.0) | 5.0 (3.5;5.5) | 5.0 (4.0;7.0) | 0.124 |
Additional Demerol usage | 4 (19.0%) | 7 (36.8%) | 15 (31.9%) | 0.426 |
Hypertension | 2 (9.5%) | 0 (0.0%) | 2 (4.3%) | 0.352 |
Hypotension | 7 (33.3%) | 10 (52.6%) | 16 (34.0%) | 0.327 |
Phenylephrine (0/1/2/3) | 14/5/1/1 | 9/7/3/0 | 32/9/4/2 | 0.551 |
Nicardipine (0/1/2/3) | 19/2/0/0 | 17/2/0/0 | 43/1/1/2 | 0.556 |
PONV | 7 (33.3%) | 6 (31.6%) | 14 (29.8%) | 0.957 |
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Lee, S.; Hwang, J.-M.; Lee, S.; Eom, H.; Oh, C.; Chung, W.; Ko, Y.-K.; Lee, W.; Hong, B.; Hwang, D.-S. Implementation of the Obturator Nerve Block into a Supra-Inguinal Fascia Iliaca Compartment Block Based Analgesia Protocol for Hip Arthroscopy: Retrospective Pre-Post Study. Medicina 2020, 56, 150. https://doi.org/10.3390/medicina56040150
Lee S, Hwang J-M, Lee S, Eom H, Oh C, Chung W, Ko Y-K, Lee W, Hong B, Hwang D-S. Implementation of the Obturator Nerve Block into a Supra-Inguinal Fascia Iliaca Compartment Block Based Analgesia Protocol for Hip Arthroscopy: Retrospective Pre-Post Study. Medicina. 2020; 56(4):150. https://doi.org/10.3390/medicina56040150
Chicago/Turabian StyleLee, Seounghun, Jung-Mo Hwang, Sangmin Lee, Hongsik Eom, Chahyun Oh, Woosuk Chung, Young-Kwon Ko, Wonhyung Lee, Boohwi Hong, and Deuk-Soo Hwang. 2020. "Implementation of the Obturator Nerve Block into a Supra-Inguinal Fascia Iliaca Compartment Block Based Analgesia Protocol for Hip Arthroscopy: Retrospective Pre-Post Study" Medicina 56, no. 4: 150. https://doi.org/10.3390/medicina56040150