Abstract
Objectives: The preferred technique for fracture femur operation is spinal anesthesia (SA). During position for SA, femoral nerve block (FNB) and intravenous (IV) fentanyl are used to decrease the pain. The analgesia provided by FNB with dexamethasone (FNBD), FNB only, and intra-venous fentanyl (FENT) was compared before positioning in patients undergoing femur fracture surgery. Methods: 90 patients of fracture femurs were randomized into three Groups A (FNBD), B (FNB), and C (FENT). The FNBD and FNB group patients received drug using ultrasound-guided method 5 min before positioning. In FNB, 10 mL of 2% lidocaine with adrenaline (1:200,000) with 10 mL of bupivacaine was injected, 8 mg of dexamethasone was added in FNDB group, and in the FNET group, received IV fentanyl 1 μg/kg 5 min before positioning. Spinal was given and pain score at baseline, 5, 15, and 30 min recorded. Results: The mean VAS was lowest for Group A and highest for Group C. The Quality of patient positioning is best in Group A and lowest in Group C and p value between Group A and C is <0.0001. The sample size came to be 30 per group by taking alpha as 5%, power of study as 95% and standard deviation as 3. Conclusion: Patient satisfaction, positioning during spinal, and analgesia were better with FNB with or without dexamethasone than IV fentanyl
Published Version
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