Is fascia iliaca compartment block or intravenous opioid analgesia better when positioning patients with fractured neck of femur for spinal anaesthesia?

2021 ◽  
pp. 1-2
Author(s):  
R Heard ◽  
P Clements
Keyword(s):  
Spinal Anaesthesia ◽  
Opioid Analgesia ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Spinal Anaesthetic ◽  
Fascia Iliaca Compartment Block ◽  
Effective Analgesia

Patients with a fractured neck of femur require effective analgesia to improve positioning before the administration of spinal anaesthetic. This article discusses the evidence to show whether fascia iliaca compartment block or intravenous opioid analgesia is preferable in this situation.

scholarly journals AN OBSERVATIONAL STUDY TO COMPARE THE EFFICACY OF ROPIVACAINE ALONE AND ROPIVACAINE WITH DEXMEDETOMIDINE IN ULTRASOUND GUIDED FASCIA ILIACA COMPARTMENT BLOCK FOR ANALGESIA IN POSITIONING OF THE PATIENT IN SUBARACHNOID BLOCK PERFORMED IN UNILATERAL FEMUR FRACTURE SURGERY

2021 ◽  
Vol 5 (9) ◽  
Author(s):  
Vikas Rajpurohit ◽  
Manish Singh Chauhan ◽  
Vijay Singh Rawat ◽  
Shailesh Sharma
Keyword(s):  
Pain Relief ◽  
Spinal Anaesthesia ◽  
Regional Anaesthesia ◽  
Orthopedic Procedures ◽  
Neck Of Femur ◽  
Fracture Femur ◽  
Femur Fractures ◽  
Key Words Spinal Anaesthesia ◽  
Study Results ◽  
Fascia Iliaca Compartment Block

Introduction: Patients encountered with fracture shaft and neck femur require some anaesthesia or pain relief to allow radiological, orthopedic and other procedures to be performed. Regional anaesthesia is the most widely used an aesthetic technique for orthopedic procedures in lower limbs.Fascia iliaca blocks provide a safe, cheap and effective form of pain relief for patients with neck of femur fractures. Animal studies have proven the combination of dexmedetomidine with ropivacaine to be safe and neuro-protective. Fascia iliaca compartment block which involve femoral nerve, lateral cutaneous nerve of thigh and obturator nerve. This study is designed to compare Fascia Iliaca Compartment Block under ultrasound guidance with ropivacaine and ropivacaine plus dexmedetomidine positioning during spinal anesthesia in femur fractures. Material and methods: This study was conducted at Mahatma Gandhi hospital and Mathuradas Mathur hospital, Jodhpur during January 2019–January 2020. 60 Patients admitted in Orthopaedic ward age group 21-60 yrs. of both sex were the source of data. Patients undergoing elective surgery for fracture femur (neck of femur and intertrochanteric) under SAB were included in the study. We divided the cases into 2 groups of 30 each, as GROUP R: Patients were received 30 ml 0.50% Inj. ropivacaine + 2 ml Normal saline with a total volume of 32 ml in unilateral FICB. GROUP RD: Patients were received 30 ml 0.50% Inj. Ropivacaine + 2 ml Inj. Dexmeditomidine (0.5mcg/Kg) with a total volume of 32 ml in unilateral FICB. Standard protocol followed to administering regional anaesthesia. All data were collected and analysed with the help of suitable statistical parameters. Results: Our study results in that Fascia Iliaca Compartment Block with combination of ropivacaine and dexmedetomidine is more efficacious than ropivacaine alone for positioning during spinal anaesthesia in surgery for fracture femur. Key words: Spinal Anaesthesia, Fascia Iliaca Compartment Block, Ropivacaine, Dexmedetomidine.

Nurse administered fascia iliaca compartment block for pre-operative pain relief in adult fractured neck of femur

Acute Pain ◽  
2008 ◽  
Vol 10 (3-4) ◽  
pp. 145-149 ◽  
Author(s):  
Ayodele Obideyi ◽  
Indra Srikantharajah ◽  
Lynn Grigg ◽  
Adrianne Randall
Keyword(s):  
Pain Relief ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Fascia Iliaca Compartment Block

Trial of Aspirin and RA 233 in Prevention of Post-operative Deep Vein Thrombosis

1973 ◽  
Vol 30 (01) ◽  
pp. 018-024 ◽  
Author(s):  
Edward H. Wood ◽  
Colin R.M. Prentice ◽  
D. Angus McGrouther ◽  
John Sinclair ◽  
George P. McNicol
Keyword(s):  
Deep Vein Thrombosis ◽  
Controlled Trial ◽  
Oral Anticoagulants ◽  
Antithrombotic Agent ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Vein Thrombosis ◽  
Effective Prophylaxis ◽  
Deep Vein ◽  
Calf Vein

SummaryAlthough the oral anticoagulants provide effective prophylaxis against postoperative deep vein thrombosis following fracture of neck of femur there is a need for an antithrombotic agent which needs less laboratory control and does not cause haemorrhagic complications. It has been suggested that drugs causing inhibition of platelet function may fulfil these requirements. A controlled trial was carried out in which aspirin, RA 233, or a combination of these drugs was compared with a placebo in the prevention of post-operative deep vein thrombosis. In thirty patients undergoing surgery for fractured neck of femur the incidence of post-operative calf vein thrombosis, as detected by 125I-fibrinogen scanning, was not significantly different between the untreated and treated groups.

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