A Randomized Trial Of Ultrasound Guided Fascia Iliaca Compartment Block(FICB) Vs Femoral Nerve Block(FNB) For Hip Surgeries Before Positioning For Spinal Anaesthesia

BACKGROUND: 

Severe pain associated with hip fractures makes positioning for regional anaesthesia a challenge. Systemic administration of analgesics can have adverse effects. Individually, both the fascia iliaca block (FICB) and femoral nerve block (FNB) have been studied. However, there is little evidence comparing the two. The role of this study is to compare the overall efficacy of the two blocks in patients in patients with hip surgeries before positioning for spinal anaesthesia.

AIM:

Primary aim :

To assess the overall efficacy for pain relief during patient positioning for spinal anaesthesia

Secondary aim :

To assess the quality of positioning during spinal anaesthesia

Time to perform spinal anaesthesia

Patient satisfaction

METHODOLOGY

Inclusion criteria:

Patients of ASA class 1,2 & 3 undergoing surgeries for hip fractures

Exclusion criteria:

Patient refusal

Previous adverse reactions to local anaesthesia

Patients on anticoagulant & antiplatelet drugs

Groups:

FNB Group: 15ml of 0.5% Ropivacaine

FICB Group: 40 ml of 0.5% Ropivacaine

Sample size: 40 patients, 20 in each group

Place of study and duration of study: Bhaskar Medical College and General Hospital

20th March 2024 to 20th September 2024

RESULTS: To be tabulated using appropriate software and published.