The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Effect of general anesthesia combined with iliac fascial compartment block on postoperative delirium and analgesia after total hip arthroplasty

Author : QIN Hong-meng1, WANG Xing2, SI Hai-chao1, OUYANG Sheng3 .     
Working unit : 1. Department of Anesthesiology, Nanyang Central Hospital, Nanyang 473000, China; 2. Department of Anesthesiology, Nanyang Orthopaedic Hospital,Nanyang 473000, China; 3. Orthopedic Department, Nanyang Central Hospital, Nanyang 473000, China
Page : 903-908.
Key words : iliac fascial compartment block, general anesthesia, total hip arthroplasty, postoperative delirium, analgesia
Abstract: [Objective] To compare the postoperative delirium (POD) and analgesia secondary to general anesthesia combined with or without iliac fascial compartment block for total hip arthroplasty (THA) . [Methods] From January 2015 to January 2019, 480 patients who aged 45~75 years and were undergoing THA in our hospital, were randomly divided into two groups. Of them, 228 patients had THA performed under general anesthesia combined with iliac fascial compartment block (the trial group) , while the remaining 252 patients received THA under general anesthesia only (the control group) The perioperative clinical data, occurrence of POD and DRS score, as well as VAS score and lower limb muscle strength were compared between the two groups. [Results] There was no significant difference regarding anesthesia time, operation time, intraoperative bleeding,HR, MAP and SpO2 at corresponding time points between the two groups (P>0.05) . The trial group proved significantly superior to the control group in occurrence of POD by CAM-ICU criteria, the times of pressing analgesic pump, cumulated dosage of sufentanil and VAS scores at 24 and 48 hours postoperatively (P<0.05) , regardless of no statistical differences between them in DRS score at any matching time point (P>0.05) . In addition, there was no significant difference in muscle strength of quadriceps femoris and iliopsoas at any corresponding time point between the two groups (P>0.05) . [Conclusion] This ultrasoundguided iliac fascial compartment block combined with general anesthesia does reduce the occurrence of postoperative delirium and significantly enhance postoperative analgesia, which facilitate the rapid recovery after total hip arthroplasty.
summary:
Effect of general anesthesia combined with iliac fascial compartment block on postoperative delirium and analgesia after total hip arthroplasty   
QIN Hong-meng1, WANG Xing2, SI Hai-chao1, OUYANG Sheng3 .
Orthop J Chin, 28(11):   903-908.