A Comparative Study on the Effect of Femoral Nerve Block (FNB) Versus Fascia Iliaca Compartment Block (FIC) on Analgesia of Patients with Isolated Femoral Shaft Fracture Under Spinal Anesthesia

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FAIZ SEYED HAMID REZA; DERAKHSHAN POOYA; IMANI FARNAD; ALEBOUYEH MAHMOUD REZA; RAHIMZADEH POUPAK; MEMARIAN ARASH

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Journal: TRAUMA MONTHLY Year:2018 | Volume:23 | Issue:5 Page(s): 0-0

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Title

A Comparative Study on the Effect of Femoral Nerve Block (FNB) Versus Fascia Iliaca Compartment Block (FIC) on Analgesia of Patients with Isolated Femoral Shaft Fracture Under Spinal Anesthesia

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Keywords

Fascia Iliaca Block

Femoral Nerve Block

Femoral Fracture

Pain

Pain Control

Abstract

Background and Objective: A local nerve block is used to relieve Pain and improve the positioning of patients during spinal anesthesia. This study attempted to compare Femoral Nerve Block (FNB) versus fascia iliaca compartment (FIC) block. Methods: In this clinical trial, a total of 68 patients undergoing surgery for femoral shaft fractures were divided randomly to 2 groups of FNB and FIC. The patients’ Pain was recorded by the visual analogue scale (VAS) before and during administration of Femoral Nerve Block. Satisfaction of positioning for spinal anesthesia and duration of the procedure were also recorded in the 2 groups. Results: During the nerve block, the Pain score of FIC was significantly lower than that of the FNB group (2. 5 0. 6, 3. 6 0. 8 and P = 0. 001). During the administration of spinal anesthesia, the mean Pain in the FNB group was significantly lower than that of FIC (2. 7 1. 1, 3. 4 0. 6 and P = 0. 001). The satisfaction of patients with positioning in the FNB group was reported to be excellent by 40. 7% of patients, whereas none in the FIC group reported satisfaction. The completion time of sensory block was significantly lower in the FNB group than the FIC group (P = 0. 001). Conclusions: TheFNBseems to provide better analgesia during spinal anesthesia for the patient, even though the administration of FIC tends to be easier and less Painful than the FNB. Shorter completion time of sensory and motor block in the FNB group could be indicative of the superiority of this method for providing the appropriate conditions for spinal anesthesia in an emergency setting.

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APA: Copy

FAIZ, SEYED HAMID REZA, DERAKHSHAN, POOYA, IMANI, FARNAD, ALEBOUYEH, MAHMOUD REZA, RAHIMZADEH, POUPAK, & MEMARIAN, ARASH. (2018). A Comparative Study on the Effect of Femoral Nerve Block (FNB) Versus Fascia Iliaca Compartment Block (FIC) on Analgesia of Patients with Isolated Femoral Shaft Fracture Under Spinal Anesthesia. TRAUMA MONTHLY, 23(5), 0-0. SID. https://sid.ir/paper/759764/en

Vancouver: Copy

FAIZ SEYED HAMID REZA, DERAKHSHAN POOYA, IMANI FARNAD, ALEBOUYEH MAHMOUD REZA, RAHIMZADEH POUPAK, MEMARIAN ARASH. A Comparative Study on the Effect of Femoral Nerve Block (FNB) Versus Fascia Iliaca Compartment Block (FIC) on Analgesia of Patients with Isolated Femoral Shaft Fracture Under Spinal Anesthesia. TRAUMA MONTHLY[Internet]. 2018;23(5):0-0. Available from: https://sid.ir/paper/759764/en

IEEE: Copy

SEYED HAMID REZA FAIZ, POOYA DERAKHSHAN, FARNAD IMANI, MAHMOUD REZA ALEBOUYEH, POUPAK RAHIMZADEH, and ARASH MEMARIAN, “A Comparative Study on the Effect of Femoral Nerve Block (FNB) Versus Fascia Iliaca Compartment Block (FIC) on Analgesia of Patients with Isolated Femoral Shaft Fracture Under Spinal Anesthesia,” TRAUMA MONTHLY, vol. 23, no. 5, pp. 0–0, 2018, [Online]. Available: https://sid.ir/paper/759764/en

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