International Journal of Multidisciplinary Research and Development

International Journal of Multidisciplinary Research and Development


International Journal of Multidisciplinary Research and Development
International Journal of Multidisciplinary Research and Development
Vol. 8, Issue 2 (2021)

A prospective comparative study of USG guided fascia Iliaca block with INJ bupivacaine and dexmedetomidine v/s INJ bupivacaine for positioning and postoperative analgesia in patients with intertrochanteric fracture posted for closed reduction and internal fixation under regional anaesthesia


Kaustubha Devi A, Anish Sharma NG

Introduction: Positioning intertrochanteric fracture cases for subarachnoid block is challenging. Fascia iliaca compartment block (FICB) helps in positioning and provides analgesia. AIM: To study and compare FICB with inj bupivacaine with dexmedetomidine (DMT) and inj bupivacaine with regard to: 1. Positioning of patient during subarachnoid block 2. Duration of postoperative analgesia. Methods: After obtaining approval from institutional ethics committee and written informed consent from the patient,120 patients aged between 30-80 years belonging to American Society of Anaesthesiologist class 1 and 2 scheduled for closed reduction and internal fixation for intertrochanteric fracture were allocated into two groups. Group A received FICB with inj. bupivacaine 0.25% of 20ml and inj. DMT 0.5µg/kg and Group B received FICB with inj. bupivacaine 0.25% of 20ml. Onset and duration of analgesia were recorded in terms of VAS. Data were analyzed using SPSS 22.0 software and t-test was used as test of significance and P <0.05 was considered as statistically significant. Results: In group A, mean VAS score at 10 min was 5.39±0.61 and in group B it was 6.46±0.50, similarly at 15min mean VAS score in group A was 1.49±0.50 and in group B it was 5.36±0.51. Mean time for rescue analgesia in group A was 407.5±20.13 and in group B was 291.91±18.81 which was significant. Conclusion: Fascia iliaca compartment block with dexmedetomidine reduces the duration of onset of Block and significantly prolongs the duration of analgesia

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