Comparison of analgesic efficacy between pericapsular nerve group block and fascia iliaca compartment block for positioning during subarachnoid block in proximal femur fractures – hospital based a randomized controlled trial.

Abstract

ABSTRACT Introduction : Hip and neck of femur fractures are most commonly occurring fractures in old age people with severe pain. Our study was done comparing analgesic efficacy between Ultrasound guided Fascia Iliaca Compartment Block (FICB) and Pericapsular Nerve Group Block (PENG) prior to spinal anaesthesia using 15ml of 0.75% of Ropivacaine drug. Methodology : RCT conducted in the KLE’s hospital , JNMC, Belgaum. The primary aim was to assess pain before and after giving PENG or FICB in proximal femur fracture cases using 0.75% Ropivacaine. 60 patients were recruited in the study and randomised based on computer generated randomization, and were allotted into two groups equally in each group. After acquiring informed consent from the patients, attaching all standard monitors (Sp02, NIBP, ECG LEADS). Using Visual Analogue Scale (VAS) pain assessment done prior to block. The block was given in the preoperative room 30 minutes before shifting to Operating room(OR). Under the USG, a block was given using 0.75% Ropivacaine 15ml in each group. The pain was assessed again using VAS scale post procedure. Haemodynamic parameters were also assessed.