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

Volume : VII, Issue : X, October - 2018

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 groupsAt 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 weå 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 student’s t–test and Mann–Whitney U testfor 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.