“FFECTIVENESS OF FEMORAL NERVE BLOCK FOR POSITIONING DURING REGIONAL ANAESTHESIA IN PATIENTS WITH FEMUR FRACTURE”

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

Abstract


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.


Keywords


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

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References


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