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

Dr. Barun Ram; Dr. Sasmita Soren; Dr. (Prof.) Usha Suwalka

Volume : VII, Issue : X, October - 2018

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

Dr. Barun Ram, Dr. Sasmita Soren, Dr. Prof. 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 forsurgery of femur fracture were evaluated in 2 groups. Group FNB received femoral nerve block with 15ml of1.5% 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�spositioning during regional anaesthesia.

Results: 60 % of patients receiving FNB showed the VAS score of 1.4 + 0.498 while 40% had VAS score of4.03 + 0.32 in Group NB and good pain relief for positioning for combined spinal epidural (CSE) in Group FNBand 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 theperformance time and gives better quality of positioning during regional anaesthesia for patients with fracturefemur.