Comparison between ultrasound guided femoral 3 in 1 block versus blind fascia iliaca compartment block as analgesia prior positioning for spinal anaesthesia

Introduction: Femur bone fracture may cause considerable amount of pain and peripheral nerve block has been advocated for use in this condition. Many techniques have been described to ease the pain in this kind of patient either prehospital and postoperative setting. However, it remains underutil...

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Main Author:	Rubi, Ikhwan Wan Mohd
Format:	Thesis
Language:	English
Published:	2016
Subjects:	RD Surgery
Online Access:	http://eprints.usm.my/42290/1/Dr._Ikhwan_Wan_Mohd_Rubi-24_pages.pdf
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spelling	my-usm-ep.422902019-04-12T05:25:32Z Comparison between ultrasound guided femoral 3 in 1 block versus blind fascia iliaca compartment block as analgesia prior positioning for spinal anaesthesia 2016 Rubi, Ikhwan Wan Mohd RD Surgery Introduction: Femur bone fracture may cause considerable amount of pain and peripheral nerve block has been advocated for use in this condition. Many techniques have been described to ease the pain in this kind of patient either prehospital and postoperative setting. However, it remains underutilised and not routinely done. Most of the time, patient either given intravenous analgesic or no analgesic. Objectives: This study aimed to evaluate the efficacy of ultrasound guided femoral 3 in 1 block versus the blind technique single shot fascia iliaca compartment block as an analgesia method in patients prior positioning for spinal anaesthesia in femur fracture surgery. Patients and Methods: This study was a prospective, single blinded and randomized controlled trial. A total of 60 patients aged between 18 to 65 years old consisted of ASA I to III were included in this study. Patients were divided into two groups by using computer assisted randomization. Group A received single shot blind fascia iliaca compartment block whereas group B received ultrasound guided femoral 3 in 1 block. The pain score at rest, upon movement and at interval of 5-10 minutes after block performed were recorded using Visual Analog Score (VAS). Results: Ultrasound guided femoral 3 in 1 block provides faster reduction of VAS at least 5 minutes’ post block and significant VAS reduction at 20 minutes’ post block. Less intravenous fentanyl required for rescue analgesia in femoral 3 in 1 block group. However, both blocks were comparable in term of reduction of VAS at 30 minutes’ post block. Conclusion: Femoral 3 in 1 block provides significantly faster relief of pain in femoral bone fracture. However, after 30 minutes’ total pain reduction in both techniques are similar. Both are equally effective and safe. 2016 Thesis http://eprints.usm.my/42290/ http://eprints.usm.my/42290/1/Dr._Ikhwan_Wan_Mohd_Rubi-24_pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RD Surgery
spellingShingle	RD Surgery Rubi, Ikhwan Wan Mohd Comparison between ultrasound guided femoral 3 in 1 block versus blind fascia iliaca compartment block as analgesia prior positioning for spinal anaesthesia
description	Introduction: Femur bone fracture may cause considerable amount of pain and peripheral nerve block has been advocated for use in this condition. Many techniques have been described to ease the pain in this kind of patient either prehospital and postoperative setting. However, it remains underutilised and not routinely done. Most of the time, patient either given intravenous analgesic or no analgesic. Objectives: This study aimed to evaluate the efficacy of ultrasound guided femoral 3 in 1 block versus the blind technique single shot fascia iliaca compartment block as an analgesia method in patients prior positioning for spinal anaesthesia in femur fracture surgery. Patients and Methods: This study was a prospective, single blinded and randomized controlled trial. A total of 60 patients aged between 18 to 65 years old consisted of ASA I to III were included in this study. Patients were divided into two groups by using computer assisted randomization. Group A received single shot blind fascia iliaca compartment block whereas group B received ultrasound guided femoral 3 in 1 block. The pain score at rest, upon movement and at interval of 5-10 minutes after block performed were recorded using Visual Analog Score (VAS). Results: Ultrasound guided femoral 3 in 1 block provides faster reduction of VAS at least 5 minutes’ post block and significant VAS reduction at 20 minutes’ post block. Less intravenous fentanyl required for rescue analgesia in femoral 3 in 1 block group. However, both blocks were comparable in term of reduction of VAS at 30 minutes’ post block. Conclusion: Femoral 3 in 1 block provides significantly faster relief of pain in femoral bone fracture. However, after 30 minutes’ total pain reduction in both techniques are similar. Both are equally effective and safe.
format	Thesis
qualification_level	Master's degree
author	Rubi, Ikhwan Wan Mohd
author_facet	Rubi, Ikhwan Wan Mohd
author_sort	Rubi, Ikhwan Wan Mohd
title	Comparison between ultrasound guided femoral 3 in 1 block versus blind fascia iliaca compartment block as analgesia prior positioning for spinal anaesthesia
title_short	Comparison between ultrasound guided femoral 3 in 1 block versus blind fascia iliaca compartment block as analgesia prior positioning for spinal anaesthesia
title_full	Comparison between ultrasound guided femoral 3 in 1 block versus blind fascia iliaca compartment block as analgesia prior positioning for spinal anaesthesia
title_fullStr	Comparison between ultrasound guided femoral 3 in 1 block versus blind fascia iliaca compartment block as analgesia prior positioning for spinal anaesthesia
title_full_unstemmed	Comparison between ultrasound guided femoral 3 in 1 block versus blind fascia iliaca compartment block as analgesia prior positioning for spinal anaesthesia
title_sort	comparison between ultrasound guided femoral 3 in 1 block versus blind fascia iliaca compartment block as analgesia prior positioning for spinal anaesthesia
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2016
url	http://eprints.usm.my/42290/1/Dr._Ikhwan_Wan_Mohd_Rubi-24_pages.pdf
_version_	1747821052597108736

Comparison between ultrasound guided femoral 3 in 1 block versus blind fascia iliaca compartment block as analgesia prior positioning for spinal anaesthesia

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