Effect of fascia iliaca compartment block with ropivacaine on early analgesia in children with development dislocation of the hip received salter arthroplasty treatment

Abstract

To observe the efficacy and safety of fascia iliaca compartment block (FICB) with 0.2% ropivacaine in the early analgesia of children with development dislocation of the hip (DDH) undergoing Salter arthroplasty. Approved by the hospital ethics committee, a total of 64 DDH children were divided randomly into 2 groups: group F (FICB with ropivacaine 0.2%, 1 ml/kg, max. 30 ml) and group C (FICB with 0.9% normal saline 1 ml/kg, max. 30 ml). The intra-operative doses of fentanyl, PACU (post-anesthesia care unit), CRIES pain score at 1, 4 and 24 h postoperatively, patient satisfaction score and side effects were recorded. The intra-operative doses of fentanyl and PACU were lower. Pain scores at 1, 4 and 24 h postoperatively were lower. And the patient satisfaction score was significantly higher in the FICB group. The administration of ropivacaine (0.2%) for FICB in the early analgesia of DDH children has the advantages of safety, precision, long-lasting and convenience.