USG guided FICB in patients with it fracture: Bupivacaine with dexmedetomidine and bupivacaine a comparative study

Abstract

Introduction: Positioning intertrochanteric fracture cases for subarachnoid block is challenging. Fascia iliaca compartment block (FICB) helps in positioning and provides analgesia. AIM: To study and compare FICB with inj bupivacaine with dexmedetomidine (DMT) and inj bupivacaine with regard to: 1. Positioning of patient during subarachnoid block 2. Duration of postoperative analgesia. Methods: After obtaining approval from institutional ethics committee and written informed consent from the patient,120 patients aged between 30-80 years belonging to American Society of Anaesthesiologist class 1 and 2 scheduled for closed reduction and internal fixation for intertrochanteric fracture were allocated into two groups. Group A received FICB with inj. bupivacaine 0.25% of 20ml and inj. DMT 0.5µg/kg and Group B received FICB with inj. bupivacaine 0.25% of 20ml. Onset and duration of analgesia were recorded in terms of VAS. Data were analyzed using SPSS 22.0 software and t-test was used as test of significance and P