Review | Pain | Acute confusional state | Myocardial infarction | Chest infections | Death | Time to first mobilization | Cost of analgesic regimen | Remarks |
Amin 2017 | FICB is safe and effective in controlling perioperative pain | N/A | N/A | N/A | N/A | N/A | N/A | NR 25 trials |
Dizdarevic 2019 | Utilize various strategies to reduce pain including RA | N/A | N/A | N/A | N/A | N/A | N/A | NR |
Fadhlillah 2019 | FICB reduces acute pain on movement Variable results for pain at rest |
N/A | N/A | N/A | N/A | N/A | N/A | MA 8 RCTs |
Freeman 2016 | FICB is part of recommended practices | Use multi‐modal analgesia to reduce the incidence of delirium | N/A | N/A | N/A | N/A | N/A | NR |
Hards 2018 | FICB is suitable for pre‐hospital use and has few adverse effects Comparisons with systemic opioids are required |
N/A | N/A | N/A | N/A | N/A | N/A | SR
7 studies:
|
Hartmann 2017 | FNB seemed to be more effective than IV fentanyl | N/A | N/A | N/A | N/A | N/A | N/A | SR 2 RCTs |
Hong 2019 | FICB reduced pain at 1 to 8, 12, 24, and 48 hours No difference at 72 hours |
N/A | N/A | N/A | N/A | N/A | N/A | MA 11 RCTs |
Hsu 2018 | Limited evidence for reduced pain on movement at 30 minutes and at 6 hours after surgery with FICB No significant complications |
N/A | N/A | N/A | N/A | N/A | N/A | MA 3 RCTs |
Hsu 2019 | FNB achieved lower pain scores on movement at 30 minutes than IV analgesia | N/A | N/A | N/A | N/A | N/A | N/A | MA
10 studies
|
Parker 2016 | N/A | N/A | N/A | N/A | Nerve blocks may reduce mortality or morbidity Continuing research is required |
N/A | N/A | NR |
Rashiq 2013 | ONB plus LFCNB had the highest probability of being effective against acute postoperative pain More trials comparing multiple nerve blocks in hip fractures are required |
FICB had the highest probability of being the most effective | N/A | N/A | N/A | N/A | N/A | SR 21 RCTs |
Scurrah 2018 | Consistent evidence that PNBs reduce pain and are more effective than standard systemic analgesia alone | Moderate evidence for a reduction | N/A | N/A | Limited evidence for a reduction | N/A | N/A | NR |
Skjold 2019 | Limited quantity of evidence for decreased pain scores leading to very low certainty of evidence supporting preoperative single‐injection FNBs | N/A | N/A | N/A | N/A | N/A | N/A | SR with MA 5 RCTs |
Soffin 2019 | PNBs and non‐opioid multi‐modal analgesic agents are suggested preoperatively | N/A | N/A | N/A | N/A | N/A | N/A | ER |
Steenberg 2018 |
FICB superior to opioids during movement Very few adverse effects |
Insufficient evidence | N/A | N/A | Insufficient evidence | N/A | N/A | SR
11 studies
|
CR: Case report; ER: evidence review; FICB: fascia iliaca compartment block; FNB: femoral nerve block; LFCNB: lateral femoral cutaneous nerve block; IV: intravenous; N/A: not a purpose of the review; MA: meta‐analysis; NR: narrative review; ONB: obturator nerve block; P: prospective non‐randomized trial; PNB: peripheral nerve block: qRCT: quasi‐randomized controlled trial; RA: regional anaesthesia; RCT: randomized controlled trial; R: retrospective trial; SR: systematic review. |