The efficacy of fascia iliaca compartment block for pain control after hip fracture: A meta-Analysis

Abstract

Background:To assess the effect of fascia iliaca compartment block (FICB) on pain control and morphine consumption in patients with hip fracture.Methods:We searched databases (PubMed, Embase, Cochrane Library) for eligible randomized controlled trials (RCTs) published prior to September 12, 2018. We only included hip fracture patients who received FICB versus placebo for pain control. Risk ratios (RRs), standard mean differences (SMD) and 95% confidence intervals (CI) were determined. Stata 12.0 was used for the meta-Analysis.Results:Eleven trials involving 937 patients underwent hip fracture were retrieved. FICB significantly decreased the pain intensity at 1-8h (SMD=-1.03, 95% CI [-1.48,-0.58], P =.000), 12h (SMD =-1.06, 95% CI [-1.36,-0.75], P =.000), 24h (SMD =-1.14, 95% CI [-1.66,-0.62], P =.000) and 48h (SMD =-0.96, 95% CI [-1.33,-0.60], P =.000). Moreover, FICB could reduced the total morphine consumption and the occurrence of nausea (P