A prospective randomised controlled study, comparing efficacy of ultrasonography guided fascia iliaca compartment block and femoral nerve block in hip surgeries, for positioning the patient before spinal anaesthesia

  • Raju D DNB, Senior Consultant, Department of Anaesthesiology, Yashoda Hospitals, Secunderabad, Telangana
  • Sahitya N DNB, Registrar, Department of Anaesthesiology, Yashoda Hospitals, Secunderabad, Telangana
  • Pujari S DNB, Registrar, Department of Anaesthesiology, Yashoda Hospitals, Secunderabad, Telangana
  • Manne M DNB, Registrar, Department of Anaesthesiology, Yashoda Hospitals, Secunderabad, Telangana, India
Keywords: Fascia iliaca compartment block, Femoral nerve block, Spinal anaesthesia, Visual Analogue Scale.

Abstract

Background: Regional nerve blocks may alleviate pain and reduce the need for intravenous opiates in patients with hip and femoral neck fractures. Current prospective randomized study compares the onset times and pain management of Ultrasonography (USG) guided Femoral nerve block (FNB) and Fascia iliaca compartment block (FICB).

Materials and methods: Total 40 patients of ASA status I, II and III were randomized into two groups of 20 each: Group Fascia iliaca compartment block (FICB) received 20 ml of 0.75% Ropivacaine + 10 ml 2% LOX with adrenaline and Group Femoral nerve block (FNB) received 20 ml of 0.75% Ropivacaine + 10 ml 2% LOX with adrenaline. Patients were given the block under the guidance of ultrasound in the induction area by an anaesthesiologist and outcomes were analysed.

Results: The study finds no significant difference with regard to age, sex, weight distribution in both groups. At the time of block, the FNB group's mean VAS score was 6.25 ± 2.02, while the FICB groups was 6.80 ±1.15 which are comparable. In terms of analgesia efficacy, FICB group performed better than FNB group, as shown by the mean VAS score at SAB of 1.50 ±0.94, compared to 2.05 ±0.69 in FNB group. Analgesia sets in faster in the FICB group than in the FNB group, with the former taking an average of 122.45 ±13.76 seconds to complete the SAB post block, while the latter took an average of 113.85 ± 9.83 seconds. In comparison to the FNB group, FICB demonstrated higher degree of patient acceptance and better quality of position attainment to perform spinal anaesthesia.

Conclusion: FICB is superior to the FNB in terms of pain relief and the initiation of analgesic effects is earlier in the FICB.

Key words: Fascia iliaca compartment block, Femoral nerve block, Spinal anaesthesia, Visual Analogue Scale.

 

 

 

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Author Biographies

Raju D, DNB, Senior Consultant, Department of Anaesthesiology, Yashoda Hospitals, Secunderabad, Telangana

SENIOR CONSULTANT, ANAESTHISIOLOGY

Pujari S, DNB, Registrar, Department of Anaesthesiology, Yashoda Hospitals, Secunderabad, Telangana

REGISTRAR, ANAESTHISIOLOGY

Manne M, DNB, Registrar, Department of Anaesthesiology, Yashoda Hospitals, Secunderabad, Telangana, India

DNB, ANAESTHISIOLOGY

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How to Cite
1.
RAJU D, SAHITYA N, Pujari S, Manne M. A prospective randomised controlled study, comparing efficacy of ultrasonography guided fascia iliaca compartment block and femoral nerve block in hip surgeries, for positioning the patient before spinal anaesthesia. Int J Med Res Rev [Internet]. 2024Nov.13 [cited 2024Dec.21];12(5):152-8. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/1503
Issue
Vol 12 No 5 (2024): Sep-Oct
Section
Original Article

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