Ketamine Administration Prior Regional Anesthesia for Fractured Femur
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 5
Abstract
Abstract: Femur fracture is a common, possibly overwhelming event for patients particularly geriatric with nearly 1.6 million hip fractures occurring yearly worldwide. Regional anesthesia compared to general anesthesia has many advantages in terms of decreased morbidity and mortality. This study will be conducted to explore the effect of administration a small dose of ketamine in avoiding pain at the fracture location when administered prior executing spinal anesthesia in the sitting position for patients suffering from femur bone fracture. This is a retrospective observational cross-sectional study. Data will be collected from patients’ medical profiles and anesthesia sheet. It will be performed on patients including males and females, who were presented for elective orthopedic operations for different forms of fractured femur (fracture head, neck and shaft). All the operations that performed under spinal anesthesia in the sitting position by using bupivacaine 0.5% in a dose of 10-20 mg will be screened. Patients will be divided into two groups; group (1) the control group and group (2) the ketamine group. Seventy two patients were included in this study and divided patients into two equal groups. Group (1) the control group and group (2) the ketamine group. Patients who experienced pain at the fracture site in the ketamine group were 30%, while those in control group were 76.7%. P value 0.023. A small dose of ketamine before performing spinal anaesthesia in sitting position for patients having fracture femur has a valuable effect in reducing patient pain at the site of fracture. It facilitates the procedure, reducing its time, reducing the number of trials of spinal injection and requires no local infiltration at site of injection.
Authors and Affiliations
Nidal Mousa AL- Soud, Moath Kreshan, Mohamed Sulaiman AbuZaid, Bassam Abu-Khajil, Mohmoud Hammad AL-Maita
Keywords
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