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- Title
Effect of Ultrasound Guided Fascia Iliaca Block and Pericapsular Nerve Group [PENG] For Positioning and Postoperative Analgesia Prior to Spinal Anaesthesia for Hip Surgeries.
- Authors
Kadlimatti, Deepak Vijaykumar; Iqbal, Mohammed Salim; Kumar, Santosh; Harsoor S. S.; Harshitha K.; Awaradi, Shreyaskumar
- Abstract
Background Ideal positioning for spinal anesthesia is not possible in hip fracture Surgeries due to extreme unbearable pain. Fascia Iliaca compartment block (FICB) and pericapsular nerve group (PENG) are novel regional analgesic methods, where it's efficacy is not well established. We studied the effect of USG guided FICB and PENG block in control of pain for positioning for Sub-arachanoid block and post operative analgesia. Methods A prospective, randomized, double blinded study, which recruited 40 patients of age 18 to 80 years undergoing hip surgeries. Patients were divided into 2 groups of 20 each, as group FICB who received fascia iliaca compartment block and group PENG, who received pericapsular nerve group block. Group FICB (n=20) and group PENG (n=20) both received injection 0.25% Bupivacaine 25ml respectively, by USG guided landmarks. Pain scores were assessed before and after the block, during positioning for Sub-arachanoid block (SAB) and post operative period. Data analysis done by student's 't' test, chi-square tests. Results There was no statistically significant difference in VAS scores between two groups during positioning after the block. In group FICB, mean VAS before block was 5.55±0.83 reduced to 0.50±0.61 during positioning and in group PENG it was 5.65±0.67 reduced to 0.75±0.72 during positioning for SAB. Mean total duration of analgesia in FICB was 407±125.65 minutes and in PENG was 565.5±155.67 minutes, which is statistically significant. Conclusion In hip fracture surgeries, FICB and PENG block both are effective analgesia methods for positioning, whereas PENG block is a better method of analgesia for post operative pain than FICB without any significant side effects.
- Subjects
HIP surgery; NERVE block; PATIENT positioning; ANALGESIA; HIP fractures; ANESTHESIA
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 3, p997
- ISSN
0975-3583
- Publication type
Article