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Study objective: Pain arising from femur fractures is of severe nature. Surgery for xation of femoral fractures may be done under spinal anesthesia. We conducted this study to compare the analgesic efcacy of fascia iliaca compartment block (FICB) and intravenous fentanyl (IVF) before positioning for spinal anesthesia. Design: Randomized controlled trial. Setting: Operating room. Patients and interventions: Sixty patients aged 25 to 75 years, with American Society of Anesthesiologists status I to II, undergoing surgery for femur fracture were chosen for the study and randomized into 2 groups. Patients in group FICB received the block with 30 mL of 0.25% ropivacaine 15 minutes before the subarachnoid block. Patients in group IVF received intravenous fentanyl at 1 µg/kg body. Spinal: All the patients received spinal anaesthesia with 0.3mg/kg of 0.5% hyperbaric bupivacaine. Measurements: Preprocedural and postprocedural parameters such as visual analog scale (VAS) scores, sitting angle, quality of positioning, and time to perform the spinal were recorded. Main results: Preprocedural VAS scores were similar in both groups. The "VAS after" was 24.72 ± 15.70 mm in group FICB vs 61.22 ± 18.18 mm in group IVF (P = .01). The drop in VAS scores was signicantly more in the FICB group. Postoperative analgesic requirement was lesser in group FICB. This work is attributed to the Department of Anesthesiology
Divde et al. (Thu,) studied this question.