USG Guided Femoral Nerve Block for Fracture Femur to Make the Patient Sit Comfortably for Spinal Anaesthesia
R. Padmaja1, G.T.S. Kranthi Kumar2, P. Narasimha Reddy3
1Associate Professor, 3Professor and HOD, Department of Anaesthesia, Narayana medical college, Nellore, Andhra Pradesh, India. 2Assistant Professor, Department of Anaesthesia, Fathima Medical College, Kadapa, Andhra Pradesh, India.
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Background: Femoral nerve block (FNB) is an option for pain management in patients with femur fractures. Aim: Compare the analgesic effects of femoral nerve block (FNB) with intravenous (IV) fentanyl prior to positioning patients with fractured femur for spinal block. Materials and Methods: It is randomized prospective study was undertaken at for a period of 9 months. Total 50 Subjects participated in study, divided into 2 groups, Group-L(lignocaine) 25 patients received 20 ml of 1% lignocaine around femoral nerve under ultrasound guidance and in plane approach. Group- F(Fentanyl)-25 patients received 1 mic/kg of fentanyl intravenously. Results: All the demographic details are not significant in both the groups. Mean arterial pressure is significantly decreased (p-value<0.05) during positing in group F and there is significantly decreased O2 saturation in patients also.Pain score during positioning is decreased significantly in group- L. Out of 25 patients in Group L, 22 were found satisfactory with this method. Conclusion: Femoral nerve block provides better analgesia, patient satisfaction, less time for anaesthesia and satisfactory positioning.
Corresponding Author : Dr. GTS Kranthi kumar, Assistant Professor, Department of Anaesthesia, Fathima medical college, Kadapa-516003, Andhra Pradesh, India.