Patient positioning for performing spinal blockade
causes severe pain in hip and femur fracture. Adequate pain
relief before administrating spinal blockade will increase
patient's cooperation. This study was done to assess
analgesic effect of fascia iliaca compartment block (FICB)
for positioning for spinal anesthesia as well as postoperative
analgesia in comparison with intravenous fentanyl.
Materials and Methods:
This was a randomized, double blind, controlled
prospective study that included 66 patients of the American
Society of Anesthesiologists physical statuses I to II, of
either sex, between 30 and 70 years, posted for hip or
proximal femoral surgery, with visual analogue scale (VAS)
>4 in preoperative period. The two groups were assigned
randomly. In Group A, patients received I/V Fentanyl
100mcg and in Group B, FICB was given half an hour
before shifting the patients in operation theater with 30 ml
of 0.25% bupivacaine. Each group included 33 patients.
Thirty minutes after FICB, spinal anesthesia was given and
patients’ vitals were monitored before and after block, at
the time of positioning for spinal anesthesia, intraoperative
and postoperative periods.