PREOPERATIVE FEMORAL NERVE BLOCK IN EXTRACAPSULAR FEMORAL NECK FRACTURES: A CLINICAL EVALUATION OF PAIN RELIEF DURING TRANSPORTATION TO OPERATION THEATRE
Dr. Basant Kumar Ningawal, Dr. Gaurav Acharya* and Dr. Kishore Kumar Arora
ABSTRACT
Introduction: Fracture of neck femur is very painful injury, which worsened by movement. This prospective study was performed to compare the analgesic effects of femoral nerve block (FNB) with intravenous (IV) tramadol prior to shifting the patients with fractured femur into operation theatre for spinal block. Material and Methods: Seventy- five ASA I–II patients aged 18–60 years undergoing surgery for femur neck fracture were compared between three groups. Thirty minutes before spinal block, the FNB group received femoral nerve block with classical approach of LABAT with a mixture of 20 mol bupivacaine 0.5%, and the tramadol group received inj. tramadol 100 mg intramuscular and control group received neither the block nor the analgesic. The patients were then observed and evaluated for onset of analgesia, intensity of pain, assessment of sensory block, degree of pain relief, complications and patient's acceptance. Results: FNB provides almost total pain relief and abolition of muscle spasm within few minutes as compare to tramadol group, FNB causes little change in hemodynamic parameters in patient compared to intramuscular tramadol. Conclusion: FNB provided quick onset and more effective pain relief with statistically significant change in hemodynamic parameters as compared to intramuscular tramadol.
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