Background: In the elderly and high risk patients, it is logic to prefer local anaesthesia rather than general anaesthesia. The fascia iliaca compartment block is an easy, available method for peri-operative analgesia in patients with painful conditions affecting the thigh, the hip joint and/or the femur. Lumbar plexus block is another form of deep blocks which is used to provide anesthesia and/or analgesia for the entire distribution of the lumbar plexus. Aim of Study: Intraoperative assessment of CFIB versus CLPB. Material and Methods: 40 patients with fracture neck femur were randomized intone of 2 blocks, CFIB and CLPB. Results: CFIB was significantly superior to CLPB as regards shorter time for catheter insertion (CIT) (p<0.001), earlier maximum motor block (p<0.001) and earlier peak of sensory block (p=0.008), intraoperative hemodynamic stability (p<0.001) while CLPB group showed significantly rapid onset of motor and sensory block (p<0.001, p<0.001). Conclusion: Continuous infusion fascia iliaca block gives better quality analgesia. It is an easy procedure that could be done in the emergency room. It is faster, safer and more applicable technique than continuous lumbar plexus block.
Background: It is thought that both CFIB and CLPB can decrease the length of hospital stay, morbidity and help early ambulation in patients with fracture neck of femur.
Aim of the Study:To compare the postoperative analgesic efficacy and opioid spare effect of continuous ultrasoundguided lumbar plexus block and fascia iliaca compartment block in patients undergoing surgery for fractured neck of femur.Material and Methods: 40 patients with fracture neck femur were randomized intone of 2 blocks, CFIB and CLPB.Results: CFIB was superior to CLPB in total consumed dose of morphine, sensory and motor block for 48 hours postoperatively (p=0.006), hemodynamic stability (p<0.001), incidence of side effects (p=0.04) and patient satisfaction (p=0.06).
Conclusion:Single injection lumbar plexus block provides postoperative analgesia for up to 18 hours, with avoidance of troubles of continuous infusion, with lower VAS scores and good patient satisfaction. However, it is considered a difficult technique with higher rate of complications and failure. On the other hand, Continuous infusion fascia iliaca block gives better quality analgesia, for up to 48 hours, and high patient satisfaction.
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