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Background: Pain poses a unique challenge to anaesthesiologist. Femur fracture is one such condition where patient experiences spikes of excruciating pain whenever patient is subjected to move or position for delivering central neuraxial anaesthesia which further increases stress response and results in polypharmacy to tackle its consequences. This study is designed to compare the efficacy of ultrasound guided Fascia Iliaca Compartment Block with bupivacaine over intravenous fentanyl for positioning during spinal anaesthesia in femur fracture cases Methodology: A single blinded, randomised study was carried out with 60 patients of ASA grade I and II aged between 18 to 70 years undergoing Femur fracture surgeries under spinal anaesthesia, patients are randomly allocated into two groups Group FICB: will be given ultrasound guided Fascia Iliaca Compartment Block preoperatively with 30ml of 0.25% bupivacaine, the block will be done 15 minutes before the sub arachnoid block. Group FENT: will be administered intravenous fentanyl preoperatively according to their calculated body weight as 2mcg/kg body weight I.V. Results: The VAS scores (P<0.0029), quality of patient positioning(P<0.0024) ,patient satisfaction(P<0.0284),Time to perform subarachnoid block (P<0.0001) heart rate (P<0.0022), Respiratory rate (P<0.0001) during positioning, Time for first rescue analgesic dose (P<0.0001)were comparatively better in the femoral nerve block group compared to intravenous fentanyl group and no statistically significant difference was observed in relation to mean arterial pressure, peripheral capillary oxygen saturation during positioning among both groups Conclusion: It is concluded that Fascia Iliaca Compartment Block is more efficacious than intravenous fentanyl for positioning during spinal anaesthesia in surgery for fracture femur cases.

international journal of medical anesthesiology

Comparative evaluation between fascia iliaca compartment block and intravenous fentanyl administration for painless positioning during spinal Anaesthesia in fracture femur surgeries: A randomized controlled study