Postoperative analgesia for fracture femur using Ultrasound-guided Fascia Iliaca block

Background: Fascia iliaca block using ultrasonography is one of the techniques to produce postoperative analgesia for surgery of fractured femur. Although this technique is not commonly used with spinal anesthesia in the elective fractured femur, Fascia iliaca block using ultrasonography will be a promising technique for postoperative analgesia in fracture femur. Aim of the study: The current study compares between patients using fascia iliaca block using ultrasonography (FICB) as post-operative analgesia after spinal anesthesia and patients using spinal anesthesia only for elective surgery of fracture femur as (C) control group Methods: Sixty patients scheduled for fracture femur were join up the study. Patients were allocated to 2 groups. Group (FICB) patients underwent ultrasound-guided single-shot FICB postoperative after spinal anesthesia, while group (C) were handled with spinal anesthesia only. Post-operative blood pressure, visual analog scale (VAS) assessment of pain, number of postoperative morphine boluses, complications occurred and patient satisfaction was recorded. Result: In this study, the FICB group was less than the control group comparing visual analog scale values. Regarding the rescue analgesia, a decrease in the dosage of consumed morphine and more prolonged time up to the first rescue dose of morphine in the first postoperative day was recorded in the FICB related to the control group. Regarding Patients satisfaction measurement, more patients were highly satisfied in group FICB (75%) than the control group (16.7%). Conclusion: Ultrasound-guided fascia iliaca block is a good method for pain relief in fracture femur postoperative as it prolongs analgesia time and decreases opioid consumption.