A Study to Compare the Analgesic Efficacy of IV Fentanyl, Versus Peripheral Nerve Stimulator Guided Femoral Nerve Block

Abstract

Background: fractures occurring in elderly patients which require surgical intervention. Proximal femoral fractures are very common in patients older than 50 years which are mostly pathological. In younger patients, proximal femoral fractures are usually the result of high-energy physical trauma (eg. high speed motor vehicle accidents) and usually occur in the absence of disease. Subjects and Methods: A pre-anesthetic evaluation comprising of history of previous medical and surgical illnesses, previous anesthesia exposures, drug allergies and upper respiratory tract infection; clinical examination and baseline investigation of blood hemoglobin, radiograph of the chest and airway examination was done. Results: VAS score at rest and movement in femoral nerve block is less than Fentanyl after 25 minute. It shows that p value is significant (p<0.001) which indicates that VAS score at rest and movement after 25 minute is less in femoral nerve block than Fentanyl. Conclusion: Besides the excellent analgesic effect, the procedure used in group femoral nerve block showed a high feasibility. Femoral nerve block was easy to perform, even when patients legs were placed in traction.