Comparison of spinal anaesthesia with lumbar plexus block for postoperative analgesia in fracture neck femur surgery
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2017, Vol 4, Issue 1
Abstract
Background: Lumber plexus block is technically difficult but with availability of nerve locator, it is relatively easy and reliable technique of anaesthesia. This study was planned to compare lumber plexus block with spinal anaesthesia for postoperative analgesia. Methods: After obtaining permission from institutional ethical committee total 50 patients of either sex with fracture neck femur belonging to physical status ASA group I to III; posted for routine orthopaedic surgery were selected randomly. Group I (SA) received spinal anaesthesia and Group II (LPB) received posterior lumbar plexus block. Time of onset and level of sensory and motor block were noted. Intraoperative vitals were noted at every 15 minute intervals. Patients were observed for 2 hrs at interval of 30 minutes for postoperative pain using visual analogue scale (VAS), vitals and for complications. Results: Time required for sensory blockade was more 17.32±2.61 in Group II as compared to 3.76±0.91 in Group I (p<0.05) and time required for motor blockade was higher in Group II (22.76±2.67) as compared to Group I (8.64±0.91) (p<0.05). Hypotension was observed in 15 patients in Group I as compared to 2 patients in Group II. VAS score at interval of 30 min was statistically significant in Group I (3.16±1.11) compared to Group II (1.5±0.51). Conclusion: LPB provides good sensory and motor block with feasibility to extend block, better haemodynamic stability with less side effects so it is a valuable option as compared to SA with supplementation of sedation in case of insufficient analgesia.
Authors and Affiliations
Ankur Gandhi, Kalpeshkumar Mistry
Keywords
Related Articles
- EP ID EP311134
- DOI 10.18231/2394-4994.2017.0006
- Views 104
- Downloads 0
Evaluation of safety and efficacy with propofol and etomidate for induction of Anaesthesia in dilatation and curettage
Introduction and Aims We compared the safety efficacy hemodynamic variation recovery duration and adverse effects of propofol and etomidate with or without fentanyl in patients undergoing dilatation and curettage for inc...
Comparison of the effects of lateral and sitting position during induction of spinal anaesthesia with plain levobupivacaine in caesarean section
Introduction: Spinal anaesthesia is a commonly employed anaesthetic technique for caesarean section. Levobupivacaineis a new long acting amide, local anaesthetic. Only few studies have investigated spinal anaesthesia usi...
Comparison of uterotonic effects of three low dose oxytocin regimens; bolus plus continuous infusion, bolus or continuous infusion during elective caesarean section: A double blind randomized control trial
Background: Oxytocin is considered the drug of choice for managing post-partum hemorrhage resulting from uterine atony, but optimum regimen of oxytocin is yet to be uncovered. Here our primary aim was to compare the uter...
Prospective randomized controlled study to compare the postoperative analgesic efficacy of intravenous dexmedetomidine and pethidine on patients undergoing lumbosacral spine surgeries
Introduction Spine surgeries especially spine fusion surgeries cause severe postoperative pain hampering convalescence This is a randomized double blind controlled study comparing the analgesic efficacy of postoperative...
A randomized clinical comparative trial to study the efficacy of adding Clonidine or Dexamethasone to Bupivacaine(0.5%) in prolonging the duration of post operative analgesia with ultrasound guided TAP block in cesarean delivery
Introduction: With dramatic rise in the rate of cesarean deliveries in the last two decades, post-operative pain management of these patients has become a major medical challenge. We studied the efficacy of adding dexame...