A Prospective Study to Determine the Efficacy of Preoperative Ultrasound Guided Femoral nerve block for Positioning and Immediate Postoperative analgesia in Fracture Femur Surgery under Spinal Anaesthesia in Geriatric Patients.

We conducted a prospective double blinded randomized control

study in 60 patients of both sexes, aged > than 60 years,

belonging to ASA I, II & III undergoing  fracture femur surgeries in

Sardar Patel Medical College, Bikaner (Rajasthan). Approval

from Institutional Ethical Committee and valid written informed

consent from patients was taken before starting the

study. Our aim was to check the efficacy and safety of ultrasound guided femoral nerve block  its onset, duration and

quality of sensory & motor block.

Patients were divided into 2 groups of 30 each using

randomization. Group A received intrathecal

Inj.0.5% heavy bupivacaine with Fentanyl 0.25 ug into subarachnoid space whereas Group

B received femoral nerve block along with spinal anaesthesia.

After the procedure, onset, peak block and quality of patient positioning for spinal anaesthesia was checked. Along with

this MAP and Heart rate were also observed and

noted in both the groups. Postoperative analgesia in terms of VAS score, time to first dose rescure and patient satisfaction score is measured.

Conclusion :  the femoral  nerve bock have found to provide better post operative analgesia and better patient positioning for spinal anaesthesia compared to standard management.