Comparison of analgesic efficacy ultrasound guided Erector Spinae Plane block and Fascia Iliaca block in hemiarthroplasty

Introduction: Peripheral nerve block is one of the analgesic modalities which reduces surgical stress response, reduces opioids requirements, and improves the quality of post-operative pain control. In this study the perioperative analgesic efficacy of erector spinae plane block (ESPB) was compared to that of fascia iliaca compartment block (FICB) in Hemiarthroplasty surgery.Methodology: A Randomized Comparative Trial included sixty eight Patients who were scheduled for hemiarthroplaty surgeries at cairo university hospital.In addtion to demographic data, vital signs, pain scores, block duration, analgesics postoperative rescue doses and block failure rate were recorded. The primary outcome of the study was the first postoperative analgesic rescue which was given when the pain score exceeded 3\10.Results: Sixty eight patients were included in the final analysis (34 in each group). The time to first postoperative analgesic requirement and block duration were longer in the FICB group than in the ESPB group. Postoperative Visual analoug scale (VAS) was generally comparable between the two groups. The incidence of block failure (3 [10%] in the FICB group versus 6 [20%] in the ESPB group) and post-operative nausea and vomiting PONV (3 [10%] in the FICB group versus 3 [10%] in the ESPB group) were comparable between the two groups.Conclusion: Fascia Iliaca Compartment Block has a better perioperative analgesic profile compared to Erector Spinae Plane Block in hemiarthopalsty Surgery