Comparison of spinal anaesthesia with lumbar plexus block for postoperative analgesia in fracture neck femur surgery


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Article type :

Original Article

Author :

Ankur Gandhi, Kalpeshkumar Mistry

Volume :

4

Issue :

1

Abstract :

Background: Lumber plexus block is technically difficult but with availability of nerve locator, it is relatively easy and reliable technique of anaesthesia. This study was planned to compare lumber plexus block with spinal anaesthesia for postoperative analgesia. Methods: After obtaining permission from institutional ethical committee total 50 patients of either sex with fracture neck femur belonging to physical status ASA group I to III; posted for routine orthopaedic surgery were selected randomly. Group I (SA) received spinal anaesthesia and Group II (LPB) received posterior lumbar plexus block. Time of onset and level of sensory and motor block were noted. Intraoperative vitals were noted at every 15 minute intervals. Patients were observed for 2 hrs at interval of 30 minutes for postoperative pain using visual analogue scale (VAS), vitals and for complications. Results: Time required for sensory blockade was more 17.32±2.61 in Group II as compared to 3.76±0.91 in Group I (p

Keyword :

Spinal anaesthesia, Lumbar plexus block, Analgesia, Visual analogue scale