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Masters Thesis | Medicine | India | Volume 12 Issue 9, September 2023 | Popularity: 5.3 / 10

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Comparison of Ultrasound Guided Peng (Pericapsular Nerve Group) Block and Landmark Guided Fib (Fascia Iliaca Block) for Facilitating Position during Spinal Anaesthesia and Postoperative Analgesia for Hip Surgeries

Dr. Kenya Gupta, Dr. Harsha Patel

Abstract: Background and aims: This observational cross - sectional study was designed to compare the effect of PENG (Pericapsular nerve group) and FIB (Fascia Iliaca block) to facilitate positioning for spinal anaesthesia with acetabular and proximal femur fracture and to compare the duration of postoperative analgesia in patients fracture around hip joint. Method: 70 patients of ASA grade 1, 2, 3 of either sex in the age group of 18 - 80 years formed 2 groups: Group P (n=30): - patients who received Pericapsular Nerve Group Block to alleviate pain of positioning before spinal anaesthesia. Group F (n=39): - patients who received FIB to alleviate pain of positioning before spinal anaesthesia. In Pre - operative room patient?s baseline pulse rate, Blood pressure and spo2 were recorded and IV cannula was secured. Injection midazolam 0.02 ? 0.03 mg/kg iv was given as a pre - medication. All patients were given systemic analgesic or regional analgesia with either of a block according to the consultant anaesthesiologist?s choice in preoperative room. Patient's vitals were monitored continuously. Pain was assessed using VAS at an interval of every 5 mins after giving the block and at 30 minutes and also at the time of positioning for spinal anaesthesia. Total duration of analgesia, postoperative analgesia trend in VAS score, VAS score at various time points and patient satisfaction score were noted. Results: Patients in group P had less VAS at 15, 20 and 30 minutes (p<0.05). Roup P has a longer mean duration of postoperative analgesia (344.6 ? 25.6 minutes) compared to the group F, which has a mean duration of (310.8 ? 55.01 minutes). Patient?s satisfaction was better in Group P as compared to Group F. Conclusion: FIB and PENG; both are equally efficacious to provide analgesia during positioning for spinal anaesthesia, but FIB is more feasible than PENG in routine practice as it is easy to perform and is safe, doesn?t require specialized equipment and is equally efficacious as PENG block.

Keywords: FIB, PENG, VAS, Postoperative Analgesia, Patient satisfaction score

Edition: Volume 12 Issue 9, September 2023

Pages: 1083 - 1088

DOI: https://www.doi.org/10.21275/SR23908195127

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