Comparative Evaluation of Femoral Nerve Block and Intravenous Fentanyl for Positioning During Spinal Anaesthesia in Surgeries of Femur Fracture
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 8
Abstract
Introduction: Spinal anaesthesia is preferred to fix femur fracture. Extreme pain does not allow ideal positioning for this procedure. We conducted this study to compare analgesic effect provided by femoral nerve block and intravenous fentanyl prior to positioning for spinal anaesthesia in patients undergoing surgeries of femur fracture. Material and Methods: In this observational study 100 patients scheduled for fracture femur surgery under subarachnoidblock at M.Y Hospital, Indore for 1 year were included. Patient consent and ethics committee permission obtained. Patients observed as 2 groups-FNB and FENT.5 min prior to positioning, FNB group patients received Femoral nerve block 20 ml lignocaine+adr (1.5%) via nerve stimulator and FENT group received fentanyl 1 µg/ kg IV.If either group reported pain scores ≥4 during positioning, IV fentanyl 0.5 µg/kg was given every 5 min until the pain score decreased to <4(maximum dose 3 µg/kg).Spinal block was performed, visualanalogscores before and during positioning were observed.Statistical analysis done with SPSS 20 computer software. Z ‑test applied to compare the means and P < 0.05 taken as significant. Results: VAS during positioning: FNB: 1.72± 0.783 versus FENT 2.14 ± 0.92 (P = 0.000). Time to perform spinal:FNB: 2.30 ± 0.61 min versus FENT 3.29 ± 0.95 min (P = 0.000). Quality of patient positioning was better in FNB group. Patient satisfaction same in both group. No major side-effect. Conclusion: Femoral nerve block provides better analgesia, satisfactory positioning during spinal anaesthesia in patients of fracture femur
Authors and Affiliations
Amisha Vats, Monika Gandhi, Parul Jain, K. K. Arora
Keywords
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