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Fascia iliaca compartment block reduces emergence agitation by providing effective analgesic properties in children.

 Hee-Soo Kim  ;  Chong Sung Kim  ;  Jeong-Rim Lee  ;  Seong Deok Kim 
 Journal of Clinical Anesthesia, Vol.23(2) : 119-123, 2011 
Journal Title
 Journal of Clinical Anesthesia 
Issue Date
STUDY OBJECTIVE: To determine whether fascia iliaca compartment block (FICB) reduces emergence agitation. DESIGN: Prospective, randomized, blinded clinical trial. SETTING: Operating room and Postanesthesia Care Unit (PACU) of a university hospital. PATIENTS: 64 ASA physical status 1 and 2 pediatric patients aged three to 7 years, scheduled for orthopedic surgery involving the anterior or lateral thigh. INTERVENTIONS: Patients enrolled in the FICB group received FICB immediately after the operation, while control group patients received intravenous (IV) patient/parent-controlled analgesia (PCA) with fentanyl. MEASUREMENTS: Severity of agitation and pain were evaluated using the Pediatric Agitation and Emergence Delirium (PAED) scale and the Children's Hospital of Eastern Ontario Pain Scale (CHEOPS). Data were collected at 10-minute intervals in the PACU. The results were analyzed using the t-test. MAIN RESULTS: PAED scores in the FICB group were significantly lower than those of the control group on arrival at the PACU (7.3 ± 2.9 vs 10.4 ± 3.2, P < 0.001). The FICB group also had significantly lower CHEOPS pain scores than the control group, both on arrival at the PACU and 10 minutes after arrival (6.4 ± 1.5 vs 10.4 ± 1.8, P < 0.001 and 6.7 ± 1.6 vs 8.0 ± 1.4, P = 0.009, respectively). CONCLUSION: In children having surgery on the thigh, FICB effectively reduced the severity of emergence agitation and postoperative pain during the immediate postoperative period.
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1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실)
Yonsei Authors
이정림(Lee, Jeong Rim)
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