Comparison of Ultrasonography Guided Fascia Iliaca Compartment Block and Intravenous Fentanyl for Positioning During Spinal Anesthesia in Fracture Femur Surgeries - A Randomized Controlled Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 6
Abstract
Introduction: Anesthesia for femur surgeries is usually provided by subarachnoid block. Proper positioning during subarachnoid block is essential for a successful procedure. Alleviating pain increases patient comfort and also provides better patient positioning for subarachnoid block. Aim: To compare the efficacy of fascia iliaca compartment block (FICB) under ultrasound guidance and intravenous (IV) fentanyl (FENT) for positioning during spinal anesthesia in fracture femur surgeries. Materials and Methods: A total of 60 patients were randomly allocated into two groups, Group FICB and Group FENT. Group FICB patients were administered 30 ml of 0.25% bupivacaine in the fascia iliaca compartment using ultrasound. Group FENT patients received titrated doses of injection FENT 0.5 mcg/kg IV repeated to 3 doses (1.5 mcg totally) with an interval of 5 min between doses. Results: There was a statistically significant difference in relation to visual analog scale score during positioning between FICB group and FENT group. There was a statistically significant difference in relation to patient satisfaction status between FICB group and FENT group. There was a statistically significant difference in relation to time to perform subarachnoid block between FICB group and FENT group. Conclusion: It is concluded that FICB is more efficacious than IV FENT for positioning during spinal anesthesia in surgery for fracture femur. FICB provides superior analgesia, better quality of patient positioning, greater patient satisfaction thereby reducing the time taken to perform spinal anesthesia in sitting position compared to IV FENT in fracture femur surgery.
Authors and Affiliations
M Sendilmurukan, K Deepa, Heber Anandan
Keywords
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