COMPARISON OF FEMORAL NERVE BLOCK AND SYSTEMIC INTRAVENOUS ANALGESIA FOR PAIN MANAGEMENT OF FEMORAL SHAFT FRACTURES.
Dr. Ramila H. Jamliya, M.D, D.A.*, Dr. Shashank Maladkar, Dr. Jainab Abijar Bhori, M.B.B.S., Dr. Ishita D. Modi, M.B.B.S., Dr. Parth Shah and Dr. B. J. Shah
ABSTRACT
Background: Femoral nerve block is useful technique for acute pain relief in case of fracture shaft femur in comparison with systemic analgesia. (Randomised controlled study). Aims and Objective: a) To study and compare whether femoral nerve block is more efficacious in pain management of femoral shaft fractures than systemic intravenous analgesia. b) To study the duration of action of femoral nerve block for pain relief in femoral shaft fractures. c) To notify any complication. Materials and Methods: 50 patients of ASA I and II, aged 20-80 years, having fracture shaft femur at either level (mid, upper, lower) were studied after admission of patient in emergency ward. They were randomly allocated to group A (n-25, femoral nerve block using 20 ml 0.5% Bupivacaine) and group B (n-25, systemic analgesia using Inj. Diclofenac 100 mg). Each case was subsequently followed up for onset and total duration of analgesia till 8 hours. Efficacy in both groups was assessed by visual analogue score. Results and Summary: There is no significant difference in onset of action between both the groups. The duration of action in group A was more (5.16±1.63 hours) than group B (2.44±1.45hours). Visual analogue score showed significant pain reduction in group A after 15 minutes and also at 360 minutes (p=0.000) in comparison with group B. Conclusion: femoral nerve block is safe,simple, more efficacious procedure in comparison to systemic IV analgesia for acute pain management in patients with fracture shaft femur at all levels.
Keywords: fracture shaft femur, femoral nerve block, pain relief, emergency and trauma ward.
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