Effectiveness of three- in - one nerve block for post – Operative analgesia after hip hemiarthroplasty

Abstract

Background and aims: Hip fractures typically affect elderly patients with multiple co-morbidities. Pain control can be difficult, requiring intensive nursing and physician care as elderly patients may manifest cardiovascular and respiratory complications from opiate administration. The aim of the study was to compare three in one (3-in-1) nerve block with control regarding its analgesic efficacy in patients following hip hemiarthroplasty surgeries. Materials and Methods: Sixty patients of ASA status I or II undergoing hip hemiarthroplasty surgeries under subarachnoid block were divided into 2 groups to receive 3-in-1 nerve block (Group 1) and Control (Group 2). Each patient was assessed for VAS score, tramadol consumption postoperatively in the PACU. Results: There was significant difference between the group 3-in-1 nerve block and control group regarding the postoperative analgesia, total rescue analgesia consumption in 24 h postoperative. The mean VAS score at 2, 4, 6,8 h and total rescue analgesia consumption in 24 h were higher in control group which was statistically significant (p value<0.05). Conclusion: Three in one nerve block provide better postoperative analgesia after hip hemiarthroplasty surgeries when compare to control.