Abstract
The postoperative pain management in the elderly is challenging due to comorbidities and change in physiology due to age itself. This limit the use of medication which include pain medication also. The fascia iliaca compartment block has been described in the literature for fracture of femur. It has even been safely used by non anaesthesiologist also. To our knowledge, we did not find any case report of continuous fascia iliaca compartment block published in Nepal. This is our first experience of successful continous fasicia iliaca compartment block in case of 89 year old lady with multiple co morbidities in whom traditional pain medication might be difficult to use. We encourage to practice this block which is both safe and easy to perform with good results.
Highlights
INTRODUCTIONWith the development of catheter, continous fascia iliaca block has been used in literature
The single shot fascia iliaca block is used for analgesia in fracture femur
With the development of catheter, continous fascia iliaca block has been used in literature
Summary
With the development of catheter, continous fascia iliaca block has been used in literature. Despite proven efficacy, it is never tried in our institute. The duration of surgery was one hour and there was no adverse introperative event.We decided to perform continous infusion in fascia iliac compartmrnt with 0.25% ropivacine for postoperative pain management. After the fascia iliaca has been pierced, 30 ml of 0.25% ropivacine was pushed With this volume the space between the fascia lata and iliacus muscle was demarcated and epidural catheter was inserted under USG visualization. Continuous Fascia Iliaca Compartment Block for Post Operative Analgesia in a Case of Fracture Femur paracetamol 325mg. USG probe placed transversely on upper thigh below inguinal ligament and touhy needle used for fascia iliaca block
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