introduction: pain control is the most important issue in emergency department management of patients with femoral bone fractures. the present study aimed to compare the procedural features of ultrasonography and nerve stimulator guided femoral nerve block in this regard. method: in this randomized clinical trial, patients with proximal femoral fractures presenting to emergency department were ...

background hip fracture–related pain both before and after surgery is generally reported as severe by most patients. various regional pain control modalities have been described in order to reduce pain in these patients. objectives because of the challenges of lumbar plexus block (lpb) and the fact that the effect of combined femoral nerve block/spinal anesthesia in controlling pain after ortho...

conclusions both methods lia and sfnb provided excellent pain relief and lower morphine consumption following tka. lia is a surgeon-controlled analgesic technique, which can be used to enhance patients’ satisfaction and reduce the pain in the very early postoperative period by surgeon independently. results group i had significantly lower morphine consumption in the first postoperative day (10 ...

a 25-year-old afghan male was presented to the emergency department with femoral shaft fracture following fall from the height. the patient was subjected to femoral nerve block and general anesthesia. first try for performing nerve block led to vascular puncture. therefore, the needle was removed and re-inserted 1 cm lateral to first puncture site and dex injected slowly with aspiration check a...

UNLABELLED Total knee replacement (TKR) produces severe postoperative pain. Peripheral nerve blocks can be used as analgesic adjuncts for TKR, but the efficacy of femoral nerve blocks alone is controversial. The sciatic nerve innervates posterior regions of the knee; thus, performance of both sciatic and femoral nerve blocks may be necessary to improve analgesia after TKR. We performed this stu...

BACKGROUND This study aimed to compare the effects of femoral nerve block and adductor canal block on postoperative pain, quadriceps strength, and walking ability after primary total knee arthroplasty. METHODS Between November 2014 and February 2015, 60 patients underwent primary total knee arthroplasty. Thirty patients received femoral nerve block and the other 30 received adductor canal blo...

PURPOSE Total knee replacement is one of the most painful orthopedic procedures, and effective pain relief is essential for early mobility and discharge from hospital. The aim of this study was to evaluate whether addition of single-injection femoral nerve block to epidural analgesia would provide better postoperative pain control, compared to epidural analgesia alone, after total knee replacem...