COMPARISON OF FASCIA ILIACA COMPARTMENT BLOCK VERSUS 3-IN -1 BLOCK FOR POSTOPERATIVE ANALGESIA IN PATIENTS UNDERGOING LOWER LIMB ORTHOPAEDIC SURGERIES:A PROSPECTIVE RANDOMIZED CONTROL CLINICAL TRIAL.

Dr.Himangi R. Bhokare

Abstract


Background- Fascia iliaca compartment block (FICB) and 3 in 1 block are effective for post operative analgesia in patients with
lower limb fracture.
Methodology- Sixty patients of 18-65 years of age belonging to ASA Class I, II and III, of either sex posted for hip & femur shaft
surgery were selected and randomly divided into two groups At the end of surgery (performed under subarachnoid block),patients
of: Group 1 received Fascia iliaca compartment Block ,Group 2: received 3 in 1 Block .Both group received 35-40 ml of 0.25%
bupivacaine. After wearing off spinal anaesthesia,both groups were assessed for motor and sensory blockade. Pain was assessed
visual analogue scale at 30 min, 1, 2, 4, 6, 12 and 24 hours.The time to first rescue analgesic (duration of analgesia), total doses of
analgesic requirement during 24 hours,patient satisfaction and any untoward side effects of block were noted.Statistical analysis
was done by students t-test and Mann-Whitney U test for Quantitative data & Chi-square test for Qualitative data.
Conclusion: Fascia iliaca compartment block may represent an attractive alternative to 3-in-1 block for postoperative analgesia after
lower limb orthopaedic surgery.


Keywords


Fascia Iliaca Compartment Block, 3-in-1 Block

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References


Tepav,Mali İzleme Raporu İstikrar Enstitüsü, 2012 Mali Yılı Bütçesi ve Makro Çerçeve, 2012, p. 11, http://www.tepav.org.tr/upload/files/1328783545-9.Mali_Izleme_Raporu_2012_Mali_Yili_Butcesi_ve_Makro_Cerceve.pdf, (Date Accessed: 16.11.2013).

Thiessen, U.; “Fiscal Decentralization and Economic Growth In Hıgh-Income OECD Countries”, European Network Of Economic Policy Research Institutes,Working Paper No: 1/January, 2001.

Ulusoy, A., Akdemir T.; “Yerel Yönetimler ve Mali Özerklik: Türkiye ve OECD Ülkelerinin Karşılaştırmalı Analizi”, Balıkesir Üniversitesi Sosyal Bilimler Enstitüsü Dergisi,Cilt: 12, Sayı: 21, Haziran 2009, p. 259-287.

Wallis,J.J., Oates W. E.; “Decentralization in the Public Sector: An Empirical Study of State and Local Government”, In:Fiscal Federalism: Quantitative Studies,Ed:Harvey S. Rosen, University of Chicago Press,1988,http://www.nber.org/books/rose88-1, (Date Accessed: 25.10.2013).


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