Comparative evaluation of femoral nerve block and intravenous fentanyl for positioning during spinal anaesthesia in surgery of femur fracture

Jadon, Ashok; Kedia, Sunil; Dixit, Shreya; Chakraborty, Swastika

doi:10.4103/0019-5049.147146

Cited by 31 publications

(54 citation statements)

References 12 publications

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“…This was found to be in accordance in other similar studies. Jadon et al, who used lignocaine as the nerve blocker also found similar results as Sia et al and Gosavi et al 8,21,20 But Iamaroon et al did not find any significant difference in the two types of analgesia. It has been estimated that this could be due to the fact that he used bupivacaine instead of lignocaine as FNB.…”

Section: Discussionsupporting

confidence: 71%

Comparative study of efficacy of femoral nerve block and IV fentanyl for positioning during femur fracture surgery

Reddy

Rao²

2016

Int Surg J

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Section: Discussionsupporting

confidence: 71%

Comparative study of efficacy of femoral nerve block and IV fentanyl for positioning during femur fracture surgery

Reddy

Rao²

2016

Int Surg J

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“…1,14 Also, many authors while comparing FNB with other modalities for positioning for central neuraxial block found FNB to be superior to all other modalities. 3,4,6,12,14 The drug used for the block also has a significant difference on the duration and results as shown in study conducted by Iamaroon et al, did not find much advantage of FNB over other modalities as bupivacaine was used instead of lignocaine. The effect of lignocaine in FNB comes in 5 minutes.…”

mentioning

confidence: 65%

“…3 Also, any overriding of the fracture ends causes deformity and is extremely painful. Delay in positioning further aggravates pain.…”

mentioning

confidence: 99%

“…There is sufficient data to show the usefulness of FNB to relieve pain from fracture of the femur and now, is being used for positioning during central neuraxial blockade as well. 3,4,12,[19][20][21][22] Femoral nerve block can be performed using peripheral nerve stimulator, ultrasound guided technique or by loss of resistance technique. Geier KO concluded that there were no significant differences regarding efficiency between loss of resistance and peripheral nerve stimulator methods.…”

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confidence: 99%

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Positioning for regional anesthesia in femur fracture surgeries: how effective is femoral nerve block? a randomised control study

Purohit¹,

Sireesha²,

Badami³

2017

Int J Res Med Sci

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Background: Fracture of the femur is a common orthopaedic problem following trauma in patients of all ages. This study was undertaken to evaluate the effectiveness of femoral nerve block (FNB) in positioning the patients for regional anesthesia.Methods: 100 patients between the ages 18 to 80 years, of ASA grade I, II and III, scheduled for elective surgeries of femur fracture were evaluated in 2 groups. Group FNB (n=50) received femoral nerve block with 15ml of 1.5% lignocaine and Group. Non FNB (n=50) was not given any block. Assessment of pain was carried out using visual analog scale (VAS). This was rated before, during and after the procedure of positioning for spinal/combined spinal epidural anesthesia (CSE). Vital parameters were tabulated.Results: VAS scores were noted at 0, 2, 5,10,15 minutes and at the time of positioning. VAS scores at 15 minutes after FNB was 1.473 ±0.1639 and 8.250±0.3615 in patients without FNB. Time taken for CSE was significantly less in FNB group (13.026±0.4628) minutes as compared to non FNB group (19.660 ±0.3742) minutes. Patient satisfaction scores were significantly higher in FNB group (45/50) 1.4952±0.033 as compared to non FNB group (10/50) 0.3460±0.1786. Quality of patient positioning was better in FNB group (2.782 ±0.1273) as compared to non FNB (1.382±0.2473).Conclusions:This study concludes that FNB is highly effective in giving good pain relief for positioning for regional anaesthetic procedures improving performance time and offers higher acceptance among patients with femoral fractures.

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“…Tables 1 and S2 show the characteristics of the included studies. Eight studies [10][11][12][14][15][16][17][18] were RCTs, and two studies [13,19] observational studies. These studies were performed in Positioning of femur fracture patients for spinal block PLOS ONE | https://doi.…”

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confidence: 99%

Efficacy and safety of femoral nerve block for the positioning of femur fracture patients before a spinal block – A systematic review and meta-analysis

Hsu

Chu

et al. 2019

PLoS ONE

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Background The evidence supporting the benefit of femoral nerve block (FNB) for positioning before spinal anesthesia (SA) in patients suffering from a femur fracture remains inconclusive. In the present study, the authors intended to determine the efficacy and safety of FNB versus an intravenous analgesic (IVA) for positioning before SA in patients with a femur fracture. Method PubMed, EMBASE, Cochrane, and Scopus databases were searched up to January 2018. We included randomized controlled studies (RCTs) and observational studies that compared FNB versus IVA for the positioning of patients with femur fracture receiving SA. The primary outcome was pain scores during positioning within 30 min before SA. Secondary outcomes were the time for SA, additional analgesic requirements, anesthesiologist’s satisfaction with the quality of positioning for SA, participant acceptance, and hemodynamic changes. A random-effects model was used to synthesize the data. We registered the study at PROSPERO with an ID of CRD42018091450. Results Ten studies with 584 patients were eligible for inclusion. FNB achieved significantly lower pain scores than IVA during positioning within 30 min before SA (pooled standardized mean deviation (SMD): -1.27, 95% confidence interval (CI): -1.84 to -0.70, p < 0.05). A subgroup analysis showed that the analgesic effect was larger in patients in the sitting position for SA than a non-sitting position (sitting position vs non-sitting: pooled SMD: -1.75 ( p < 0.05) vs -0.61 (not significant). A multivariate regression showed that the analgesic effect was also associated with age and the total equivalent amount as lidocaine after adjusting for gender (age: coefficient 0.048, p < 0.05; total equivalent amount as lidocaine: coefficient 0.005, p < 0.05). Patients receiving FNB also had a significantly shorter time for SA, greater anesthesiologist satisfaction, and higher patient acceptance than patients receiving IVA. The use of local anesthetics did not produce significant clinical hemodynamic change. Conclusion Compared to IVA, FNB was an effective and safe strategy for the positioning of femur fracture patients for a spinal block, particularly patients who received SA in the sitting position.

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Comparative evaluation of femoral nerve block and intravenous fentanyl for positioning during spinal anaesthesia in surgery of femur fracture

Cited by 31 publications

References 12 publications

Comparative study of efficacy of femoral nerve block and IV fentanyl for positioning during femur fracture surgery

Comparative study of efficacy of femoral nerve block and IV fentanyl for positioning during femur fracture surgery

Positioning for regional anesthesia in femur fracture surgeries: how effective is femoral nerve block? a randomised control study

Efficacy and safety of femoral nerve block for the positioning of femur fracture patients before a spinal block – A systematic review and meta-analysis

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