Research Article

Interest of Continuous Ultrasound-Guided Iliofascial Block in Analgesia After Total Hip Replacement

Authors: Leye PA, Diagne MT, Traore MM, Ndoye G, Diallo A, Gueye AB, Niang MN, Kinkpe CV.

DOI: 10.33425/2639-846X.1098

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Abstract

Objective: The objective of our study was to evaluate the quality of postoperative analgesia of ultrasound-guided ilio-fascial block (IFB) with continuous catheter after total Hip Prothesis (THP).

Methods: We conducted a prospective non-randomized cross-sectional study over a period of 7 months at the Order of MALTA Hospital Center (CHOM) after informed consent from patients. Forty patients were included in this study divided into two groups of 20.

Results: The average preoperative VAS in the IFB group was 4.2 and 3.85 in the group without IFB. Morphine consumption was higher in the group without IFB with a significant difference (P = 0.038). Static VAS during the first 48 hours was significantly higher in the group without IFB except for VAS in the 40th hour (p=0.065). Dynamic VAS during the first 48 hours were also significantly higher in the group without IFB.

Conclusion: Ultrasound-guided IFB by continuous catheter via the suprainguinal route associated with multimodal analgesia after THP is a safe and effective analgesic technique.

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