ISSN: 1859 - 2872
Evaluation of analgesic efficacy of fascia iliaca nerve block in preparing for positioning elderly patients with femoral neck or head fractures for spinal anesthesia
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Abstract
Objective: To evaluate the analgesic effect of ultrasound-guided fascia iliaca nerve block for transition elderly patients with femoral neck or head fractures to sitting position for spinal anesthesia. Subject and method: 30 elderly patients with femoral neck or head fractures indicated for hip replacement surgery under spinal anesthesia were included. The patients received a fascia iliaca nerve block with 25ml of 0.8% lidocaine under ultrasound guidance. After 15 minutes, the patients were transitioned to sitting position for spinal anesthesia. Evaluating the Visual Analog Scale (VAS) scores before and after the fascia iliaca nerve block; the pain level and ease of transitioning to sitting position for spinal anesthesia; any side effects. Result: The VAS scores at rest and during movement at 2, 5, 10, and 15 minutes after the fascia iliaca nerve block were significantly lower compared to the pre-block time (p<0.05). 28 out of 30 patients experienced no pain or only mild pain during positioning, sitting comfortably with good back flexion for spinal anesthesia. No side effects were recorded. Conclusion: Ultrasound-guided fascia iliaca nerve block is a safe technique that provides effective pain relief in preparing for poisitioning elderly patients with femoral neck or head fractures for spinal anesthesia.
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References
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