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ORIGINAL ARTICLE
Year : 2019  |  Volume : 5  |  Issue : 2  |  Page : 167-172

Femoral nerve block versus fentanyl & dexmedetomidine analgesia for positioning patients with fracture femur for administering subarachnoid block: A comparative study


1 Dept of Anaesthesiology & Critical Care Medicine, IGIMS, Patna, India
2 Dept. of Emergency Medicine, Max Hospital, New Delhi, India

Correspondence Address:
Sanjeev Kumar
Professor, Dept. of Anaesthesiology, IGIMS, Patna
India
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Source of Support: None, Conflict of Interest: None


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Fracture of the femur is one of the common traumatic injuries encountered in the emergency departments. Satisfactory pain relief prior to subarachnoid block for surgical interferenceis desirable for patient’s co-operation. Such relief can be provided byuse of systemic analgesics, local anaesthesia, or femoral nerve blocks. This study was conducted on 60 patients after randomly allocation into two groups of 30 patients each. Group A has been received the femoral nerve block with 20 ml of 0.5% bupivacaine 15 minutes before the subarachnoid block while group B has been received intravenous fentanyl at 0.5^g/kg single shot & intravenous dexmedetomidine 1 ^g/kg over 15 minutes before the subarachnoid block and concluded that femoral nerve blocks produces a more intense analgesia with fewer side effects than systemic analgesic.


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