Intraoperative Assessment of Ultrasound Guided Continuous Facia Iliaca Block (CFIB) Versus Continuous Lumbar Plexus Block (CLPB) in Patients Undergoing Fracture Neck Femur Fixation
HALA E. MOHAMMED, M.D., M., MOHAMMED A. MANSOUR, M.D., A. (2019). Intraoperative Assessment of Ultrasound Guided Continuous Facia Iliaca Block (CFIB) Versus Continuous Lumbar Plexus Block (CLPB) in Patients Undergoing Fracture Neck Femur Fixation. EKB Journal Management System, 87(March), 33-40. doi: 10.21608/mjcu.2019.52317
MOHAMMED A. HASSAN, M.D.; HALA E. MOHAMMED, M.D.; AMR Z. MANSOUR, M.D.; MOHAMMED A. MANSOUR, M.D.. "Intraoperative Assessment of Ultrasound Guided Continuous Facia Iliaca Block (CFIB) Versus Continuous Lumbar Plexus Block (CLPB) in Patients Undergoing Fracture Neck Femur Fixation". EKB Journal Management System, 87, March, 2019, 33-40. doi: 10.21608/mjcu.2019.52317
HALA E. MOHAMMED, M.D., M., MOHAMMED A. MANSOUR, M.D., A. (2019). 'Intraoperative Assessment of Ultrasound Guided Continuous Facia Iliaca Block (CFIB) Versus Continuous Lumbar Plexus Block (CLPB) in Patients Undergoing Fracture Neck Femur Fixation', EKB Journal Management System, 87(March), pp. 33-40. doi: 10.21608/mjcu.2019.52317
HALA E. MOHAMMED, M.D., M., MOHAMMED A. MANSOUR, M.D., A. Intraoperative Assessment of Ultrasound Guided Continuous Facia Iliaca Block (CFIB) Versus Continuous Lumbar Plexus Block (CLPB) in Patients Undergoing Fracture Neck Femur Fixation. EKB Journal Management System, 2019; 87(March): 33-40. doi: 10.21608/mjcu.2019.52317

Intraoperative Assessment of Ultrasound Guided Continuous Facia Iliaca Block (CFIB) Versus Continuous Lumbar Plexus Block (CLPB) in Patients Undergoing Fracture Neck Femur Fixation

The Medical Journal of Cairo University
Article 5, Volume 87, March, March 2019, Page 33-40  XML PDF (742.83 K)
Document Type: Original Article
DOI: 10.21608/mjcu.2019.52317
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Authors
MOHAMMED A. HASSAN, M.D.; HALA E. MOHAMMED, M.D.; AMR Z. MANSOUR, M.D.; MOHAMMED A. MANSOUR, M.D.
The Department of Anaesthesiology, Surgical ICU & Pain Management, Faculty of Medicine, Cairo University
Abstract
Abstract
Background: In the elderly and high risk patients, it is logic to prefer local anaesthesia rather than general anaesthesia. The fascia iliaca compartment block is an easy, available method for peri-operative analgesia in patients with painful conditions affecting the thigh, the hip joint and/or the femur. Lumbar plexus block is another form of deep blocks which is used to provide anesthesia and/or analgesia for the entire distribution of the lumbar plexus.
Aim of Study: Intraoperative assessment of CFIB versus CLPB.
Material and Methods: 40 patients with fracture neck femur were randomized intone of 2 blocks, CFIB and CLPB.
Results: CFIB was significantly superior to CLPB as regards shorter time for catheter insertion (CIT) (p<0.001), earlier maximum motor block (p<0.001) and earlier peak of sensory block (p=0.008), intraoperative hemodynamic stability (p<0.001) while CLPB group showed significantly rapid onset of motor and sensory block (p<0.001, p<0.001).
Conclusion: Continuous infusion fascia iliaca block gives better quality analgesia. It is an easy procedure that could be done in the emergency room. It is faster, safer and more applicable technique than continuous lumbar plexus block.
Keywords
Continuous facia iliaca block; Continuous lumbar plexus block; Intraoperative assessment
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