Femoral Nerve Block and Intravenous Fentanyl for Positioning During Spinal Anesthesia in Surgery of Femur Fractures: Hemodynamic Changes

Femoral Nerve Block and Intravenous Fentanyl for Positioning During Spinal Anesthesia in Surgery of Femur Fractures: Hemodynamic Changes

  • Vijay Siddhartha B S Assistant Professor, Department of Anaesthesia, East point College of Medical sciences and research centre, Bangalore, Karnataka
  • Ranjini BN Senior Resident, Department of Anaesthesia, Subbaiah Institute of Medical sciences, Shivamogga, Karnataka
Keywords: Fentanyl, hemodynamic changes, Femur Fractures

Abstract

Background: Fentanyl is a synthetic opioid and a phenylpiperidine derivative. It is structurally related to Pethidine, and is 75-125 times as potent as Morphine. It is a potent lipophilic opioid. It is a μ receptor agonist with a short onset time and moderate Duration of action. Fentanyl citrate is N-(1-phenethyl-4-piperidinyl) propionanilidedi hydrogen citrate. 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: Heart rate, systolic and diastolic BP after 20 minute within and between groups. T test was applied to find any statistical difference between the groups. The statistical test showed that there was a significant difference in heart rate, systolic and diastolic blood pressure between the two groups with p value less than 0.05. Conclusion: It is found that heart rate, systolic and diastolic BP start decreasing with femoral nerve block after 10th minute. No difference in hemodynamic changes found in fentanyl group.

Published
2020-01-09
How to Cite
Vijay Siddhartha B S, & Ranjini BN. (2020). Femoral Nerve Block and Intravenous Fentanyl for Positioning During Spinal Anesthesia in Surgery of Femur Fractures: Hemodynamic Changes. Academia Anesthesiologica International, 4(2), 346-349. Retrieved from http://aijournals.com/index.php/aan/article/view/1309