• Medicine · Jul 2022

    Effects of fascia iliaca compartment block as an adjunctive management to parecoxib for pain control after total hip arthroplasty.

    • Xiao-Yan Li, Liang Zhang, Yu-Mei Ding, Cai-Xia Wang, and Yi Qiu.
    • Department of Anaesthesiology, The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
    • Medicine (Baltimore). 2022 Jul 29; 101 (30): e29688e29688.

    BackgroundThis retrospective study investigated the effects of fascia iliaca compartment block (FICB) as an adjunctive management to parecoxib for pain control after total hip arthroplasty (THA).MethodsA total of 72 patient records of THA were included in this retrospective study. All patients received parecoxib and were allocated to either the treatment group (n = 36) or the control group (n = 36). In addition, patients in the treatment group underwent FICB. The primary outcome was pain intensity measured using a resting and moving visual analog scales (VASs). The secondary outcomes were inflammatory factors (interleukin 6 and C-reactive protein) and occurrence rate of adverse events.ResultsPatients in the treatment group had better outcomes in the resting VAS (12 hours, P < .01; 24 hours, P < .01; 36 hours, P = .01; 72 hours, P = .03), moving VAS (12 hours, P < .01; 24 hours, P < .01; 36 hours, P = .02; 72 hours, P = .02), serum interleukin 6 (P < .01), and C-reactive protein (P < .01) than those in the control group at different time points. In addition, there were no significant differences in the occurrence rate of adverse events.ConclusionThe findings of this study demonstrated that the effects of FICB as an adjunctive management to parecoxib are superior to those of parecoxib alone for pain control after THA.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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