مقایسه تاثیر دو روش بلوک فاشیا ایلیاکا و تزریق فنتانیل وریدی بر میزان درد بیماران دچار شکستگی تنه استخوان فمور هنگام انجام بی حسی نخاعی

Background and aims: The patients with fractures of femoral shafts have severe andvigorous pain which limit their lateral positioning to perform spinal anesthesia. To detect anappropriate resolve for decreasing their pain, we decided to compare facia iliaca block and ivfentanyl injection.Materials and Method: This study was performed as a randomized single blind sequentialclinical trial. Prior to spinal anesthesia, pain score evaluated through visual analogue scale (VAS)[from 0 to 10] after that, patients randomly divided in to two groups, 10 members in each group.In the first group patients received 1.5 mg/kg fentanyl intravenously. Once their condition wassuitable to achieve the position, VAS again assessed. In second group after facia iliaca block(20ml lidocaine 2%) VAS evaluated, and then the patients positioned laterally to perform spinalanesthesia.Results: This study showed that the time for painless lateral positioning in group fascia iliacablock was shorter than group iv fentanyl.VAS score for fascia iliaca block group was lower than iv fentanyl group. The entireinformation mentioned earlier was analytically significant (P<0.05) and showed satisfactoryconsequences.Conclusion: In respect to this study, fascia iliaca block is reliable and safe and it is feasible toperform in all stages of accidents.