“COMPARISON OF ANALGESIC EFFECT OF INTRAVENOUS FENTANYL VS FEMORAL NERVE BLOCK DURING SPINAL ANESTHESIA POSITIONING IN PATIENTS UNDERGOING FEMUR FRACTURE SURGERY.”

Abstract

Introduction: For operative procedures of femur fracture, spinal anaesthesia is widely used over general anaesthesia with advantages of better post-operative pain relief, early mobilization, less respiratory complications and avoiding multiple drugs usage. For effectively giving spinal anaesthesia, pain free positioning is must. While giving spinal anesthesia in femur fracture procedures, proper positioning of patient is very difcult because of pain, more so when fracture is displaced. Thus pre operatively intravenous fentanyl, femoral nerve block or fascia iliaca block are some of the procedures which can be used to decrease pain and to provide correct positioning during spinal anaesthesia. To compare theObjectives: analgesic effect and hemodynamic stability of femoral nerve block and intravenous fentanyl. Study was carry out on 70 patients dividedMethods: randomly into two groups of 35 patients each. Group A patients received Femoral nerve block and Group B patients received intravenous fentanyl. Result: VAS score at rest and at movement at 15 minutes in femoral nerve block group was 2.37 +/- 1.45 and 3.37+/- 1.55 in intravenous fentanyl group was 4.94+/- 0.98 and 5.55+/- 0.88.Patient satisfaction score was higher in femoral nerve block group. Analgesic effect ofConclusion: femoral nerve block was better compare to intravenous fentanyl.