Abstract | BACKGROUND: OBJECTIVE: The objective was to compare the feasibility and effectiveness of fascia iliaca compartment block (FICB) and femoral nerve block (FNB) in reducing pain associated with positioning for subarachnoid block in patients undergoing proximal femoral fracture fixation procedures. METHOD: Group FICB patients (n=15) received fascia iliaca block with 30 ml of 1.5% lignocaine with adrenaline and group FNB patients (n=15) received femoral nerve block with 15 ml of 1.5% lignocaine with adrenaline. After the study blocks, patients were kept on supine position for at least 20 minutes before shifting them to the operation theatre. Pain was assessed by using visual analog scale values before the block and during the position for subarachnoid block. Time to perform subarachnoid block, quality of positioning and acceptance was recorded. RESULT: Visual analog scale values during positioning for SAB were lower in FIB group than in FNB (1.0±1.1 versus 2.1±0.8; P< 0.05). Time to perform SAB was shorter in FIB than in FNB (109.6±28.2 seconds versus 134.8±31.9 seconds; P< 0.05). Quality of patient positioning for SAB was comparable between the groups. Patient acceptance was less in group FNB (P< 0.05). CONCLUSION: Fascia iliaca compartment block provides better analgesia than femoral nerve block in terms of facilitating optimal positioning for subarachnoid block in patients undergoing proximal femoral fracture fixation procedure.
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Authors | A Ghimire, B Bhattarai, S Koirala, A Subedi |
Journal | Kathmandu University medical journal (KUMJ)
(Kathmandu Univ Med J (KUMJ))
2015 Apr-Jun
Vol. 13
Issue 50
Pg. 152-5
ISSN: 1812-2078 [Electronic] Nepal |
PMID | 26643833
(Publication Type: Journal Article)
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Chemical References |
- Anesthetics, Local
- Lidocaine
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Anesthetics, Local
(administration & dosage, adverse effects)
- Female
- Femoral Fractures
(surgery)
- Femoral Nerve
- Fracture Fixation
(methods)
- Humans
- Lidocaine
(administration & dosage, adverse effects)
- Male
- Middle Aged
- Nerve Block
(adverse effects, methods)
- Pain Management
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