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The application of ultrasound-guided fascia iliaca compartment block in clinical teach-ing

Published on Nov. 08, 2021Total Views: 4388 timesTotal Downloads: 2888 timesDownloadMobile

Author: Xin-Yi LI 1# Jin WANG 1# Cheng-Yao WANG 1 Yang TAN 2 Zong-Ze ZHANG 1

Affiliation: 1. Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China 2. Department of Joint and Sports Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, China

Keywords: Ultrasound-guided technology Fascia iliaca compartment block Clinical teaching

DOI: 10.12173/j.issn.1004-5511.202011055

Reference: Li XY, Wang J, Wang CY, Tan Y, Zhang ZZ. The application of ultrasound-guided fascia iliaca compartment block in clinical teaching[J]. Yixue Xinzhi Zazhi, 2021, 31(6): 483-486. DOI: 10.12173/j.issn.1004-5511.202011055.[Article in Chinese]

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Abstract

Objective  To explore the application of ultrasound-guided technology in the teaching of fascia iliaca compartment block (FICB) anesthesia.
Methods  Twenty doctors receiving standardized hospital residents training were randomly divided into ultrasound guided group (group A) and anatom-ical positioning group (group B) by random number table method. The ultrasound system and tradi-tional anatomical positioning method were used for teaching respectively, and the neurological re-sistance as measured by the doctors in each group was recorded. The success rate and blocking effect of the original operation are analyzed, and the additional effect of ultrasound-guided technology on clinical teaching is analyzed.
Results  The first-time success rate of FICB operation (59% vs. 21%) and the total success rate (88% vs. 54%) were significantly higher in group A. Compared with group B, the teaching satisfaction, mastery of theoretical knowledge and group A’s confidence scores for performing FICB were also higher, and the operation time was also shorter.
Conclusion  The effect of FICB teaching using ul-trasound guidance is good, and this can significantly improve the students’ success rate when perform-ing FICB operation, shorten the operation time, and enhance their confidence and interest.

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References

1. Ganesh A , Gurnaney HG. Ultrasound guidance for pediatric peripheral nerve blockade[J]. Anesthesiol Clin, 2009, 27(2): 197-212. DOI: 10.1016/j.anclin.2009.06.001.

2. Hebbard P, Ivanusic J, Sha S. Ultrasound-guided supra-inguinal fascia iliaca block: a cadaveric evalua-tion of a novel approach[J]. Anaesthesia, 2011, 66(4): 300-305. DOI: 10.1111/j.1365-2044.2011.06628.x. 

3. Wennberg P, Möller M, Herlitz J, et al. Fascia iliaca compartment block as a preoperative analgesic in elderly patients with hip fractures-effects on cognition[J]. BMC Geriatr, 2019, 19(1): 252. DOI: 10.1186/s12877-019-1266-0.

4. 张溪. 超声引导下神经阻滞麻醉在老年患者单侧下肢骨科手术中的应用分析[J]. 中国现代药物应用, 2020, 14(6): 73-74. DOI: 10.14164/j.cnki.cn11-5581/r.2020.06.033. [Zhang X. Application analysis of ultra-sound-guided nerve block anesthesia in unilateral lower limb orthopedic surgery in elderly patients[J]. Chin J Mod Drug Appl, 2020, 14(6): 73-74. ]

5. 张文超, 白岚, 袁嫕, 等. 超声引导下改良髂筋膜间隙阻滞在老年髋部骨折患者摆放体位过程中的阻滞效果[J]. 临床麻醉学杂志, 2017, 33(10): 957-960. DOI: 10.3969/j.issn.1004-5805.2017.10.005. [Zhang WC, Bai L, Yuan Y, et al. Application of ultrasound-guided modified-fascia iliaca compartment block in the supine posi-tion in elderly patients with hip fracture[J]. Journal of Clinical Anesthesiology, 2017, 33(10): 957-960.]

6. Foss NB, Kristensen BB, Bundgaard M, et al. Fascia iliaca compartment blockade for acute pain con-trol in hip fracture patients: a randomized, placebo-controlled trial[J]. Anesthesiology, 2007, 106(4): 773-778. DOI: 10.1097/01.anes.0000264764.56544.d2. 

7. 吴泽昊, 王云. 髂筋膜间隙阻滞的研究进展[J]. 国际麻醉学与复苏杂志, 2020, 41(10): 996-1002. DOI: 10.3760/cma.j.cn321761-20200419-00136. [Wu ZH, Wang Y. Research advances of fascia iliaca com-partment block[J]. International Journal of Anesthesiology and Resuscitation, 2020, 41(10): 996-1002.]

8. 柴彬, 詹利, 王茂, 等. 髂筋膜间隙阻滞研究进展[J]. 临床外科杂志, 2020, 28(10): 996-998. DOI: 10.3969/j.issn.1005-6483.2020.10.030. [Chai B, Zhan L, Wang M, et al. Research advances of fascia iliaca compartment block[J]. Journal of Clinical Surgery, 2020, 28(10): 996-998.]

9. Shafqat A, Mukarram S, Bedforth NM, et al. Impact of video games on ultrasound-guided regional anesthesia skills[J]. Reg Anesth Pain Med, 2020, 45(11): 860-865. DOI: 10.1136/rapm-2020-101641.

10.  王宁, 李民, 魏越, 等. 超声引导髂筋膜间隙阻滞两种穿刺方式对全髋关节置换术后镇痛效果影响的随机对照研究[J]. 中华医学杂志, 2015, 95(28): 2277-2281. DOI: 10.3760/cma.j.issn.0376-2491.2015.28.008. [Wang N, Li M, Wei Y, et al. A comparison of two approaches to ultrasound-guided fascia iliaca compartment block for analgesia after total hip arthroplasty[J]. National Medical Journal of China, 2015, 95(28): 2277-2281.]

11.  Newman B , Mccarthy L , Thomas PW , et al. A comparison of pre-operative nerve stimulator-guided femoral nerve block and fascia iliaca compartment block in patients with a femoral neck fracture[J]. Anaesthesia, 2013, 68(9): 899-903. DOI: 10.1111/anae.12321.

12.  钱玉莹, 郭志远, 王祥和, 等. 超声引导下髂筋膜间隙神经阻滞技术的研究进展[J]. 医学综述, 2018, 24(1): 160-164. DOI: 10.3969/j.issn.1006-2084.2018.01.031. [Qian YY, Guo ZY, Wang XH, et al. Research progress of ul-trasound-guided fascia iliaca compartment block[J]. Medical Recapitulate, 2018, 24(1): 160-164.]

13.  阚敏慧, 兰飞, 冯鲲鹏, 等. 超声引导下的神经阻滞在麻醉教学中的应用[J]. 北京医学, 2019, 41(8): 757-758. DOI: 10.15932/j.0253-9713.2019.08.040. [Kan MH, Lan F, Feng KP, et al. Application of ultrasound-guided nerve block in anesthesia teaching[J]. Beijing Medical Journal, 2019, 41(8): 757-758.]