Dr. Barun Ram, Dr. Sasmita Soren, Dr. Usha Suwalka


BACKGROUND: This study was done to evaluate the usefulness of femoral nerve block (FNB) for positioning during regional anaesthesia in
patients with femur fracture.
METHOD: 80 patients between the age group of 30 to 80 years, of ASA grade I, II and III, scheduled for surgery of femur fracture were evaluated
in 2 groups. Group FNB received femoral nerve block with 15ml of 1.5% lignocaine and Group. NB was not given any block. Assessment of pain
before and after femoral nerve block was done by VAS score along with assessment of performance time and quality of patient's positioning during
regional anaesthesia.
RESULTS: 60 % of patients receiving FNB showed the VAS score of 1.4 + 0.498 while 40% had VAS score of 4.03 + 0.32 in Group NB and good
pain relief for positioning for combined spinal epidural (CSE) in Group FNB and lesser performance time (16.2 + 2.7 min) in comparison to
patients not receiving nerve block it was (19.23 + 2.674 min).The data analyzes for quality of positioning observed in FNB group 2.10 + 0.308,
While in NB group it was1.13 + 0.346
CONCLUSION: Femoral nerve block is not only reducing pain during procedure but also decreases the performance time and gives better quality
of positioning during regional anaesthesia for patients with fracture femur.


Femoral Nerve Block, positioning, regional anaesthesia, femur fracture.

Full Text:



Salvatore sia, Francesco Pelusio, Analgesia before performing a spinalblock in the sitting position in patients with femoral shaft fracture: Acomparison between femoral nerve block and intravenous Fentanyl. Anesth Analg 2004;99:1221-1224.

Purohit S et al. Positioning for regional anesthesia in femur fracture surgeries: how effective is femoral nerve block? a randomised control study.International Journal of Research in Medical Sciences, 2017 Aug;5(8):3590-3595

Jadon A, Kedia SK, Dixit S, Chakraborty S.Comparative evaluation of femoral nerve block andintravenous fentanyl for positioning during spinal anaesthesia in surgery of femur fracture. Indian JAnaesth. 2014;58:705-8.

Singh AP, Kohli V, Bajwa SJ. Intravenous analgesia with opioids versus femoral nerve block with 0.2%ropivacaine as pre-emptive analgesic for fracture femur: a randomized comparative study. Anesth Essays Res. 2016;10:338-42.

Pennington N, Gadd RJ, Green N, Loughenbury PR. A national survey of acute hospitals in England ontheir current practice in the use of femoral nerve blocks when splinting femoral fractures. Injury.2012;43:843‑5.

McCormack HM, Horne DJ, Sheather S. Clinical applications of visual analogue scales: A critical review. Psychol Med 1988;18:1007-19.

Golwala MP, Ramkumar P,Upadhyay RM, Swadia VN. Femoral nerve block as the initial management of fractured shaft of femur, Indian Journalof Anaesthesia 1999 Oct;43(5):62-3.

M.J, Yun, Y.H. Kim, M.K.Han, et al. Analgesia before a spinal block for femoral neck fecture: Fascia iliaca compartment block. Acta Anaesthesiascand 2009;53:1282-1287.

Sandby-Thomas M, Sullivan G, Hau JE. A national survey into the peri-operative anaesthetic management of patients presenting for surgicalcorrection of fractured neck femur. Anaesthesia.2008 Mar;63(3):250-8.

Parker MJ, Griffiths R, Appadu BN. Nerve blocks for hip fractures. Cochrane database syst. Rev.2002;(1):CD001159.

Sia S, Pelusio F, Barbagli R, Rivituso C. Analgesia before performing a spinal block in the sitting position in patients with femoral shaft fracture: acomparison between femoral nerve block and intravenous fentanyl. Anesthesia Analgesia 2004,99(4):1221-4.


  • There are currently no refbacks.