SIFIB As an Anesthesia Method for Lower Extremity Surgeries

Ultrasound-Guided Supra-Inguinal Fascia Iliaca Block As an Anesthesia Method for Lower Extremity Surgeries: A Single-Center Retrospective Cohort Feasibility Study

The Ultrasound-guided Supra-inguinal Fascia Iliaca Block (SIFIB) is an advanced regional anesthesia technique strategically directed at the three primary nerves of the lumbar plexus. As the scope of regional anesthesia methods continues to grow in clinical application, this approach emerges as a versatile method. It can be used independently for pain management or as the primary anesthetic method, particularly in well-selected patients undergoing isolated limb surgeries or in combination with other regional anesthesia approaches.

Study Overview

• Status: Completed
• Conditions: Anesthesia; Regional Anesthesia; Anesthesia Management
• Intervention / Treatment: Other: Suprainguinal fascia iliaca block

Detailed Description

The study follows a retrospective cohort feasibility design, conducted within the confines of a tertiary hospital. The requisite data for analysis was acquired by accessing patient records and electronic data systems. A cohort of 16 patients was carefully chosen for inclusion in the study, and the administration of blocks was carried out before the surgical procedures.

• Study Type: Observational
• Enrollment (Actual): 16

Contacts and Locations

Study Locations

• Turkey
  • Samsun, Turkey
    • Samsun University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Specifically, we included patients who underwent SIFIB either as the primary anesthesia method or as a component of the anesthesia plan.

Description

Inclusion Criteria:

• ASA I-III patients who underwent elective lower limb surgical procedures.

Exclusion Criteria:

• Patients who received general anesthesia, neuraxial anesthesia, or infiltration anesthesia were excluded.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Block Success which provided surgical anesthesia, intraoperatively	After performing the blocks, the sensory block was examined with a pinprick test using a 27-gauge hypodermic needle, (0 = no sensory block; 1 = tactile sense present, no pain; 2 = no tactile sense and no pain). Cases with a score of 1 or 2 after 30 min were considered successful.	Intraoperatively and PACU unit (up to 2 hours)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Additional analgesic requirement	The number of patient who required intravenous ketamine or propofol infusion were recorded.	Intraoperatively and PACU unit (up to 2 hours)

Collaborators and Investigators

• Sponsor: Samsun University
• Investigators: Study Director: Serkan Tulgar, M.D., Samsun University

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2022
• Primary Completion (Actual): March 1, 2023
• Study Completion (Actual): March 15, 2023

Study Registration Dates

• First Submitted: September 25, 2023
• First Submitted That Met QC Criteria: October 6, 2023
• First Posted (Actual): October 10, 2023

Study Record Updates

• Last Update Posted (Actual): October 10, 2023
• Last Update Submitted That Met QC Criteria: October 6, 2023
• Last Verified: October 1, 2023

More Information

Terms related to this study

• Keywords: Regional Anesthesia; Anesthesia Management
• Other Study ID Numbers: SIFIB retrospective

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No