The Study of Effectiveness of Analgesia with Fascia Iliaca Compartment Block (FICB) for Positioning during Spinal Anaesthesia and the Duration of Post-Operative Analgesia Using Bupivacaine in Patients with Proximal Fracture Femur

To evaluate the efficacy of ropivacaine with dexmedetomidine and ropivacaine with dexamethasone in fascia iliaca compartment block for post-operative pain relief in fracture femur surgeries: A comparative randomized study

“…Similar results were seen in the study conducted by Sana et al, 14 on post-operative pain relief with FICB using dexmedetomidine and dexamethasone with bupivacaine, they found out there was statistically significant difference between plain bupivacaine and dexamethasone and plain bupivacaine and dexmedetomidine at 8 and 12 h. In another study conducted by Li et al to determine the post operative analgesia of ropicacaine and dexmedetomidine for USG guided fascia iliaca block after knee arthroscopic surgery, VAS score was much less in dexmedetomidine group as compared to plain ropivacaine alone at 6 h and 12 h after surgery with P<0.05, which was statistically significant.…”

“…The findings in our study were supported by the study done by Sana et al, 14 on post-operative pain relief with FICB using dexmedetomidine and dexamethasone with bupivacaine. They also did not observe any significant difference between the group dexamethasone, group dexmedetomidine, and plain bupivacaine in patient positioning during spinal anesthesia which was statistically insignificant (P>0.05).…”

“…It blocks the nerve conduction through C and Aδ fibers. 19,20 Our study was in accordance with study conducted by Sana et al, 14 the duration of analgesia in group dexmedetomidine was higher as compared to group dexamethasone. It was 16.17 h in group dexmedetomidine and 12.53 h in group dexamethasone, whereas with plain bupivacaine 0.25%, it was 8.23 h. P<0.001 implying that the difference was highly significant between the groups.…”

“…FICB has been known to block the femoral, lateral femoral cutaneous nerve, and obturator nerve by the central spread of local anesthetic (volume-dependent block). 14 It also provides adequate analgesia for fractures of the proximal femur and hip joint. Since then, it is being used as a technique of analgesia following surgical procedures in hip, femur, knee, and thigh burn treatment.…”

“…15 min after administering the block, the quality of pain relief during positioning for spinal anesthesia was assessed subjectively: satisfactory/ not satisfactory. 14 The SAB was then administered using Inj. Bupivacaine 0.5% (Heavy)-3 mL, and surgery was allowed to proceed after the absence of pinprick sensation at or above T10 dermatomal level.…”