지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 138 - 143 (6page)
이용수
초록· 키워드
오류제보하기
Background: Severe pain associated with proximal femur fractures makes the po-sitioning for regional anesthesia a challenge. Systemic administration of analgesics can have adverse effects. Individually, both the fascia iliaca block (FIB) and femoral nerve blocks (FNB) have been studied. However, there is little evidence comparing the two. The aim of this study was to compare the overall efficacy of the two blocks in patients with proximal femur fracture before positioning for spinal anesthesia.Methods: ASA (American Society of Anesthesiologists) class I, II, and III patients scheduled for elective and emergency surgery with the diagnosis of proximal femur fracture between October 2018 and June 2019 were included in the study. The pa-tients were assigned to two groups by convenience nonprobability sampling of 35 each.Results: Our study showed a reduction in visual analogue scale scores at 3, 4, and 5 minutes after administration of the FIB being 5.1 ± 1.1, 4.1 ± 1.3, and 2.8 ± 0.8, and those after the FNB as 4.4 ± 1.1, 3.3 ± 1.1, and 2.1 ± 1.4 with P < 0.05, which was statistically significant. The mean first rescue analgesia time for the FIB was 7.1 ± 2.1 hours, while for the FNB it was 5.2 ± 0.7 hours. The P value was less than 0.001, which was significant.Conclusions: Both ultrasound guided FNB and FIB techniques provide sufficient an-algesia for patient’s positioning before spinal anesthesia. However, the duration of postoperative analgesia provided by FIB was greater than that of the FNB.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Fujihara Y / 2013 / Fascia iliaca compartment block : its efficacy in pain control for patients with proximal femoral fracture / J Orthop Sci 18:793~797
Gupta N / 2018 / The effect of 0.25% levobupivacaine and 0.25%ropivacaine in fascia iliaca block in elderly patients with fracture femur given before positioning for subarachnoid block / Int J Res Med Sci 6:191~194
Rowlands M / 2018 / Femoral nerve block intervention in neck of femur fracture(FINOF) : a randomised controlled trial / BMJ Open 8:e019650
Iamaroon A / 2010 / Femoral nerve block versus fentanyl : analgesia for positioning patients with fractured femur / Local Reg Anesth 3:21~26
Yezierski RP / 2012 / The effects of age on pain sensitivity : preclinical studies / Pain Med 13(Suppl 2):S27~36
Gupta N / 2018 / The effect of 0.25% levobupivacaine and 0.25%ropivacaine in fascia iliaca block in elderly patients with fracture femur given before positioning for subarachnoid block / Int J Res Med Sci 6:191~194
Rowlands M / 2018 / Femoral nerve block intervention in neck of femur fracture(FINOF) : a randomised controlled trial / BMJ Open 8:e019650
Iamaroon A / 2010 / Femoral nerve block versus fentanyl : analgesia for positioning patients with fractured femur / Local Reg Anesth 3:21~26
Yezierski RP / 2012 / The effects of age on pain sensitivity : preclinical studies / Pain Med 13(Suppl 2):S27~36
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