To know how femoral nerve block [FNB] with 0.75% Ropivacaine is an aid to regional anesthesia [SAB] for femur and hip surgeries.

Dr. Anitha Kulkarni; Dr.W.S.Thatte; Dr. Tejeswi Sai

Volume : V, Issue : IX, September - 2015

To know how femoral nerve block [FNB] with 0.75% Ropivacaine is an aid to regional anesthesia [SAB] for femur and hip surgeries.

Dr. Anitha Kulkarni, Dr. W. S. Thatte, Dr. Tejeswi Sai

Abstract :

Context: Femoral nerve block is safe and reliable for surgeries on anterior thigh ,knee and post–op pain management .15–20ml of drug used, which diffuses underneath fascia iliaca and also blocks lateral cutaneous nerve of thigh, complimenting FNB. Aims: To assess efficacy of femoral block in reducing pain due to femur fracture before positioning patient for spinal anesthesia. To access efficacy of femoral block in providing post–operative analgesia ,using VAS score. Materials and Methods: Femoral block was given, to 30 patients aged 18–60 years ASA grade I–IV ,with 15–20ml of Inj. 0.75% Ropivacaine (3mg/kg) Hemodynamic parameters, onset and duration of post–op analgesia was recorded. 30 minutes after FNB, Sub Arachnoid block was given with Inj.0.5% heavy Bupivacaine . This study was compared with femur, knee surgeries done only under SAB with 3.5 ml 0.5% heavy Bupivacaine. Results: Femoral nerve block with 0.75% Ropivacaine helped in decreasing pain and keeping hemodynamic parameters stable while giving sub–arachnoid block. Post op analgesia ,lasted more than 10 hrs.