title: Comparison of the postoperative analgesic efficacy of an ultrasound-guided fascia iliaca compartment block versus 3 in 1 block in hip prosthesis surgery.
abstract: OBJECTIVE
  In this study, we aimed to compare the postoperative analgesic efficiency of an ultrasound-guided fascia iliaca compartment block and a 3 in 1 block in patients who underwent hip prosthesis surgery as a result of hip fracture.
  
  
  METHODS
  With approval from the local ethics committee, 70 patients, aged 20 to 80, undergoing hip prosthesis surgery under elective conditions were included in this randomized, prospective, controlled study. They were informed of the patient-controlled analgesia (PCA) device and visual analog scale (VAS). All patients were separated randomly into three groups. Anaesthesia induction was standardized for all groups. An ultrasound guidance fascia iliaca compartment block (FICB) was applied to the first group before anaesthesia induction. For the second group, a 3 in 1 block was applied, while for the control group no block was applied. After incision on all patients, 20 mg tenoxicam and 1 mg/kg tramadol were injected intravenously. Following surgery, IV tramadol PCA was begun on all patients routinely. In our study, the presence of cortisol and ACTH levels, hemodinamical parameters, nausea and sedation were determined.
  
  
  RESULTS
  We observed a decrease in VAS values and opioid consumption, no adverse effects on nausea and sedation, and a suppression of stress hormones in both the ultrasound-guided FICB and 3 in 1 block groups.
  
  
  CONCLUSIONS
  We believe that the safe and efficient application of the ultrasound-guided 3 in 1 block and the FICB is necessary in multimodal analgesic treatment in order to enable postoperative analgesia in hip prosthesis surgery.
authors.affiliation: Department of Anesthesiology and Reanimation, Gulhane Military Faculty of Medicine, Ankara, Turkey. sdeniz.md@gmail.com.
authors.forename: Süleyman
authors.initials: S
authors.lastname: Deniz
authors.affiliation: Department of Anesthesiology and Reanimation, Gulhane Military Faculty of Medicine, Ankara, Turkey.
authors.forename: Abdulkadir
authors.initials: A
authors.lastname: Atım
authors.affiliation: Department of Orthopedics and Traumatology, Gulhane Military Faculty of Medicine, Ankara, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Kürklü
authors.affiliation: Department of Biochemistry, Gulhane Military Faculty of Medicine, Ankara, Turkey.
authors.forename: Tuncer
authors.initials: T
authors.lastname: Çaycı
authors.affiliation: Department of Anesthesiology and Reanimation, Gulhane Military Faculty of Medicine, Ankara, Turkey.
authors.forename: Ercan
authors.initials: E
authors.lastname: Kurt
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016058:Analgesia, Patient-Controlled; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D019644:Arthroplasty, Replacement, Hip; D005205:Fascia / Q000000981:diagnostic imaging; D005260:Female; D005267:Femoral Nerve / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D009020:Morphine / Q000008:administration & dosage*; D009407:Nerve Block; D010149:Postoperative Pain / Q000517:prevention & control*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D055815:Young Adult
chemical_list: D000701:Analgesics, Opioid; D009020:Morphine