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. 2017 May 11;2017(5):CD001159. doi: 10.1002/14651858.CD001159.pub2

1. Anaesthetic techniques.

Study Purpose of blockade Surgical anaesthesia Block technique Comparison
Altermatt 2013 Preoperative and postoperative analgesia Unspecified Continuous lumbar plexus with 0.1% bupivacaine in a patient‐controlled analgesia mode IV morphine
Antonopoulou 2006 Postoperative analgesia Spinal anaesthesia Continuous femoral nerve block, nerve stimulator, loaded with 18 mL of 0.25% bupivacaine followed by an infusion of 0.125% levobupivacaine at 3‐4 mL/h IM pethidine
Beaudoin 2013 Preoperative analgesia Unspecified Ultrasound‐guided femoral nerve block performed by an experienced operator with a 7.5 MHz linear probe, participant in Trendelenburg position, cross‐sectional view, 22 G Whitacre needle in‐plane and 25 mL of bupivacaine 0.5% and distal manual pressure for 5 minutes IM morphine
Chudinov 1999 Preoperative and postoperative analgesia
Surgery for some participants
Treatment group: psoas block alone (3/20) with a sciatic block (5/20), a spinal (11/20) or general anaesthesia (1/20)
Control group: neuraxial block (19/20) or general anaesthesia (1/20).
Psoas, loss of resistance, Chayen's technique 0.8 mL/kg of bupivacaine 0.25%, operated side up (1 epidural spread) IM meperidine and diclofenac
Coad 1991 Postoperative analgesia General anaesthesia for all participants with etomidate, nitrous oxide, enflurane, fentanyl and vecuronium Lateral cutaneous: 15 mL of 0.5% bupivacaine with epinephrine, Eriksson's technique
Femoral (3‐in‐1): 15 mL of 0.5% bupivacaine with epinephrine, Winnie's technique
IM meperidine
Cuvillon 2007 Postoperative analgesia Spinal anaesthesia for all participants Continuous femoral nerve block. Nerve stimulator 0.3 to 0.5 mA. Non‐stimulating catheter passed 10‐15 cm past the needle tip loaded with 30 mL of 1.5% lidocaine followed by ropivacaine 0.2% at 10 mL/h for 48 hours SC morphine
De La Tabla 2010 Preoperative analgesia Unspecified Femoral nerve block under dual guidance (ultrasound and nerve stimulator), catheter loaded with 15 mL of ropivacaine 0.2% followed by an infusion of the same solution at 5 mL/h and 10 mL every 30 minutes IV metamizole and tramadol
Diakomi 2014 Preoperative analgesia (spinal positioning) Spinal anaesthesia Fascia iliaca block, Dalen's technique, landmarks, 40 mL of 0.5% ropivacaine IV fentanyl
Domac 2015 Preoperative analgesia (spinal positioning) plus postoperative analgesia Spinal anaesthesia Fascia iliaca block with 15 mL of 0.5% bupivacaine and 15 mL of 2% lidocaine; 2‐3 cm below inguinal ligament at the junction of lateral 1/3 and medial 2/3 of a line from pubis tubercle to anterior iliac spine; 2 pops IV morphine
Fletcher 2003 Preoperative analgesia Unspecified Fermoral (3‐in‐1 nerve block, Wiinie's technique with 20 mL of 0.5% bupivacaine and 5 minutes distal compression) IV morphine
Foss 2007 Preoperative analgesia Unspecified Fascia iliaca block based on Dalen's landmarks with a 24 G blunted needle and 40 mL of 1% mepivacaine with epinephrine IM morphine
Gille 2006 Preoperative and postoperative analgesia Treatment group: spinal anaesthesia for 37/50 and general anaesthesia for 13/50
Control group: spinal anaesthesia for 38/50 and general anaesthesia for 12/50
Femoral non‐stimulating catheter: needle 18 G, catheter 20 G (Brown‐Perifix‐Plexus Anaesthesia); 0.5 mA and 0.1 msec. Catheters were advanced about 10 cm past the needle tip and fixed. Loading dose was 40 mL of prilocaine 1% followed 2 hours later by ropivacaine 0.2% 30 mL, repeated every 6 hours. Amount (up to 40 mL; n = 5) and intervals (up to every 4 hours; n = 8) or both (n = 6) adjusted on pain scores IV metamizole plus oral tilidine and naloxone
Godoy 2010 Preoperative analgesia Unspecified Fascia iliaca compartment block, 21G long bevel needle, Dalen's technique with 0.3 mL/kg of 0.25% bupivacaine IV non‐steroidal anti‐inflammatory drugs
Graham 2008 Preoperative analgesia Unspecified Femoral (3‐in‐1) nerve block, Winnie's technique, nerve stimulator and 30 mL of bupivacaine 0.5% (not exceeding 3 mg/kg) IV morphine
Haddad 1995 Preoperative analgesia Unspecified Femoral nerve block with 0.3 mL/kg of bupivacaine 0,25%. Paraesthesia technique with a short bevel needle IM pethidine, oral co‐dydramol and IM voltarol
Hood 1991 Postoperative analgesia General anaesthesia for all participants with etomidate, nitrous oxide, isoflurane and alfentanil Femoral nerve block (triple nerve block) with nerve stimulator < 1.0 mA and 35 mL of prilocaine 0.75% and distal digital pressure plus infiltration above the iliac crest with 8 mL of the same solution IM papaveratum
Iamaroon 2010 Preoperative analgesia Spinal anaesthesia Femoral nerve block with nerve stimulator (0.2 to 0.4 mA) and 20 mL of bupivacaine 0.5% plus 10 mL of saline IV fentanyl
Jadon 2014 Preoperative analgesia Spinal anaesthesia Femoral nerve block with nerve stimulator (0.3 to 0.5 mA) and 15 mL of lidocaine 2% plus 5 mL of distilled water IV fentanyl
Jones 1985 Postoperative analgesia General anaesthesia for all participants with thiopental, nitrous oxide, halothane, fentanyl and alcuronium Lateral cutaneous nerve block with 15 mL of 0.5% bupivacaine, Eriksson's technique IM pethidine
Kullenberg 2004 Preoperative analgesia Unspecified Femoral nerve block with 30 mL of 0.75% ropivacaine. Winnie's approach and nerve stimulator IM ketobemidon plus tramadol and paracetamol
Luger 2012 Preoperative and postoperative analgesia Spinal anaesthesia Ultrasound‐guided femoral (3‐in‐1) nerve block (13‐6 MHz linear probe), catheter inserted ≥ 12‐15 cm past the needle tip) loaded with 30 mL of 0.25% bupivacaine followed by an infusion of 0.125% bupivacaine at 6 mL/h (motor blockade not evaluated)
or
Lumbar epidural analgesia with 0.125% bupivacaine at 8 mL/h
IV/SC piritramide or IV paracetamol
Mossafa 2005 Preoperative analgesia Spinal anaesthesia Fascia iliaca block with 20 mL of 1.5% lidocaine IV fentanyl
Mouzopoulos 2009 Preoperative and postoperative analgesia Epidural anaesthesia Fascia iliaca block daily, Dalen's technique with 0.3 mL/kg of bupivacaine (0.25%?) IV and analgesics
Murgue 2006 Preoperative analgesia Unspecified Femoral nerve block with nerve stimulator and 20 mL of mepivacaine IV morphine or
IV paracetamol and ketoprofen
Nie 2015 Postoperative analgesia General anaesthesia with propofol, remifentanil and atracurium Fascia iliaca block with landmarks (2‐3 cm below the inguinal ligament); catheter inserted at least 10 cm cranially and loaded with 20 to 30 mL (weight basis) of 0.5% ropivacaine followed by 0.25% bupivacaine at 0.1 mL/kg/h for 48 hours IV patient‐controlled analgesia with fentanyl and tropisetron
Segado Jimenez 2009 Postoperative analgesia Spinal anaesthesia Landmarks. Obturator nerve with 15 mL of bupivacaine with a vasoconstrictive agent, proximal to the obturator orifice. Femoral lateral cutaneous (Brown) with 10 mL of the same solution IV morphine
Spansberg 1996 Postoperative analgesia Spinal anaesthesia Femoral nerve block with nerve stimulator, non‐stimulating catheter advanced 8‐15 cm past needle tip. Inserted just before surgery. Loaded with 0.4 L/kg of bupivacaine 0.5%; continuous infusion with 0.14 mL/kg/h of bupivacaine 0.25% for 16 hours after surgery IM morphine
Szucs 2012 Preoperative and postoperative analgesia Spinal anaesthesia Non‐stimulating catheter for femoral nerve block, inserted in the emergency department with a nerve stimulator, 0.4 mA and 0.1 msec, space dilated before catheter insertion with 10 mL of 2% lidocaine, catheter advanced 3 cm past the needle tip and 10 mL of 0.5% bupivacaine through the catheter followed by 0.25% bupivacaine infused at
 4 mL per hour for 72 hours IM morphine
Tuncer 2003 Postoperative analgesia General anaesthesia for all participants with propofol, nitrous oxide, isoflurane, fentanyl, morphine and atracurium Femoral (3‐in‐1) nerve block, nerve stimulator 0.1 mA, non‐stimulating catheter advanced 4‐5 cm past the needle tip. Loaded with 30 mL of 2% lidocaine with epinephrine followed by an infusion with bupivacaine 0.125% at 4 mL/h for 48 hours IV morphine
White 1980 Intraoperative analgesia General anaesthesia with thiopental, nitrous oxide, halothane and fentanyl or nitrous oxide and alfaxolone/alfadolone Psoas block with 30 mL of 2% mepivacaine, side to be blocked uppermost, Chayen's technique
or
Spinal: 0.6 to 0.8 mL of hyperbaric cinchocaine
Conventional general anaesthesia
Yun 2009 Preoperative analgesia Spinal anaesthesia Fascia iliaca block, Dalen's technique with 30 mL of 0.375% ropivacaine IV alfentanil

G: gram

h: hour

IM: intramuscular

mA: milliAmpere

mcg/mL: microgram/millilitre

mg/kg: milligram/kilogram

MHz: megahertz

mL: millilitre

msec: millisecond

n: number

SC: subcutaneous