Abstract

The ultrasound-guided suprainguinal approach to FICB was first described by Hebbard et al in 2011. This method involved direct deposition of local anesthetic in the iliac fossa above the inguinal ligament by advancing the needle cranially beneath the fascia iliaca, starting from below the inguinal ligament until the needle tip passes superior to the inguinal ligament. A total of 30 patients were assessed for eligibility during the study period, out of which 20 patients were recruited. They were randomized to either receive suprainguinal fascia iliaca block (group B) or fentanyl (group F), with each group having 10 patients. The median opioid consumption in Group F was 70(57.5-85). Opioid was used in Group B as rescue analgesia in a single patient (median consumption 0(0)). Group F had higher median opioid consumption (+70.0) in comparison to Group B (SIFIB), and the difference was statistically significant (Mann-Whitney U=0.0, df=18, p<0.05).

Description