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