EFFECTIVENESS OF FASCIA ILIACA COMPARTMENT BLOCK FOR POST OPERATIVE ANALGESIA AFTER SURGERY FOR FEMUR BONE FRACTURE

Background:Multimodal analgesia is given to alleviate postoperative pain in fracture neckfemur.Present study done assess the effectiveness of fascia iliaca compartment block for post operative after surgery femur fractures. Aims & Objectives: 1) To effect on at rest and with movement 2) duration 3) TO analgesic requirement Methods: Afer approval from institution review board committee, this prospective randomised observational was conducted our institute taking informed consent each patient. Total 60 adult patients (ASA I/II) aged 18 70 years, either sex undergoing bone under subarachnoid were included. Sub arachnoid performed sitting posture strict aseptic precautions theL2-L3 or L3-L4 space using 23G Quincke needle 3.5ml 0.5%Bupivacaine (hyperbaric, dextrose 80mg/ml) all patients. Patients randomly divided two groups, Group A (n=30): The FICNB group received ultrasound guided 0.25% bupivacaine 30ml end operation. B managed without Hemodynamic variables like heart rate, non invasive blood pressure, saturation oxygen, recorded block. provided by modes assessed Visual analogue scale scores 5 mins,10 mins,15 mins,20 mins,25 mins,30 mins,40 mins,50 mins,1, hr,then hourly upto,12 hour,then 2 upto 24 hour. Postoperative hemodynamic monitoring depicated tabular form. watched adverse effects drugs complications procedure itself.The compared between groups visual terms first rescue total dose inj. diclofenac sodium75 mg.The data studied mean values ± SD then unpaired ttest. p value <0.05 considered significance Results:The result obtained At 1hr Mean VAS 2.23 ±0.43 it 4.93±0.25 7hr 2.96 0.18 4.9±0.31 12hr 4.66±0.80 3.83±0.38 14hr 1.86±1.25 was4.93±0.25 Post-operative moment significantly higher B, (p<0.001). After hr statistically significant difference not observed C. consumption 137.5±28.42 mg 295±19.03 B.