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Indian Journal of Anesthesia and Analgesia 7(3):p 798-803, May-June 2020. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7320.22
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Comparative Study of Ultrasound Guided PENG [Pericapsular Nerve Group] Block and FIB [Fascia Iliaca Block] for Positioning and Postoperative Analgesia Prior to Spinal Anaesthesia for Hip Surgeries: Prospective Randomized Comparative Clinical Study
Srinivasan Rangalakshmi , K Shankar , Srinivasan Rangalakshmi , AB Ashwin , Usha Nandini , Mahesh Chandra , Deepak Vijaykumar Kadlimatti
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Indian Journal of Anesthesia and Analgesia 7(3):p 798-803, May-June 2020. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7320.22
How Cite This Article:
K Shankar, Srinivasan Rangalakshmi, AB Ashwin, et al. Comparative Study of Ultrasound Guided PENG [Pericapsular Nerve
Group] Block and FIB [Fascia Iliaca Block] for Positioning and Postoperative Analgesia Prior to Spinal Anaesthesia for Hip Surgeries:
Prospective Randomized Comparative Clinical Study. Indian J Anesth Analg. 2020;7(3):798-803.
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Published : N/A
Abstract
Introduction: Extreme pain in hip fractures does not allow ideal positioning for spinal anesthesia. Adequate pain relief before spinal anesthesia will enhance patient’s cooperation. We evaluated the analgesic efficacy of ultrasound guided PENG block and FIB for positioning and post operative pain relief in hip surgeries. Methods: This was a prospective, randomized, double blind study that included 60 patients aged 18-80 years of either sex belonging to ASA I to III undergoing hip surgeries. Group P [n=30] [USG guided Peng Block] - 25ml of 0.25% Ropivacaine Group F [n=30] [USG guided Fascia Iliaca Block} - 25ml of 0.25% Ropivacaine. Pain scores after the block, during positioning and post-operative period, opioid consumption and side effects if any were recorded. Statistical analysis done using student t test, chi-square test. Pvalue of < 0.05 was considered significant. Results: In Group P, mean VAS before block was 7.8 ± 0.47 which reduced to 0.6 ± 0.4 during positioning which is statistically significant (P<0.001), whereas in Group F, mean VAS before block was 7.6
± 0.4 which reduced to 2.6 ±- 1.2 during positioning. Duration of postoperative analgesia was comparable between the two groups. (490.4 ± 40.8 minutes in group P and 470 ± 40.48 minutes in group F) Conclusion: In Hip fractures, PENG block produces more effective analgesia for positioning and postoperative pain than Fascia iliaca block without any significant side effects.
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Cite this article
K Shankar, Srinivasan Rangalakshmi, AB Ashwin, et al. Comparative Study of Ultrasound Guided PENG [Pericapsular Nerve
Group] Block and FIB [Fascia Iliaca Block] for Positioning and Postoperative Analgesia Prior to Spinal Anaesthesia for Hip Surgeries:
Prospective Randomized Comparative Clinical Study. Indian J Anesth Analg. 2020;7(3):798-803.
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| Received | Accepted | Published |
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| N/A | N/A | N/A |
DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7320.22
Keywords
UltrasoundPericapsular nerve group blockFascia iliaca blockHip surgeriesSearch for Similar Articles
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