Title

Pain relief for femur fractures using Fascia Iliaca Block and IV fentanyl

Authors

Monika Gandhi, Manjeet Singh Meena, Rashpal Singh Gill, Aseem Sharma* & Manish Banjare

Affiliation

Department of Anesthesiology, M.G.M. Medical College and M.Y. Hospital, Indore, Madhya Pradesh, India; *Corresponding author

Email

Monika Gandhi - E - mail: drmonikagandhi2911@gmail.com
Manjeet Singh Meena - E - mail: manjitmeena76@gmail.com
Rashpal Singh Gill - E - mail: rashgeet.@gmail.com
Aseem Sharma - E - mail: aseem4224@gmail.com

Manish Banjare - E - mail: manish_banjare@yahoo.co.in

Article Type

Research Article

Date

Received March 1, 2025; Revised March 31, 2025; Accepted March 31, 2025, Published March 31, 2025

Abstract

Proximal femur fractures cause severe pain making spinal anesthesia positioning difficult. Therefore, it is of interest to compare ultrasound-guided Fascia Iliaca Compartment Block (F.I.C.B) with IV fentanyl for pain relief. 100 American Society of Anesthesiologists (ASA) I/II patients were randomly divided into two groups, receiving either Fascia Iliaca Compartment Block (30 ml 0.25% bupivacaine) or IV fentanyl (1 mcg/kg). Visual analog scale (VAS) scores were similar at baseline but significantly lower in Fascia Iliaca Compartment Block group during positioning (2.38 ± 0.49 vs 4.34 ± 0.72, p < 0.0001). Further, Fascia Iliaca Compartment Block also led to faster spinal anesthesia (6.21 ± 0.86 vs 6.96 ± 0.2 min, p < 0.0001) and longer pain relief (4.72 ± 0.78 vs 2.7 ± 0.76 hrs, p < 0.0001) with stable vitals and no significant difference in side effects.

Keywords

Fascia iliaca compartment block, intravenous fentanyl, proximal femur fracture, pain management, spinal anesthesia positioning, postoperative analgesia

Citation

Gandhi et al. Bioinformation 21(3): 567-570 (2025)

Edited by

P Kangueane

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.