19. Comparison between ultrasound-guided sciatic-femoral nerve block and intravenous morphin to reduce pain for patients with lower extremity fractures: Results of an observational study
Main Article Content
Abstract
Femoral nerve block (FNB) combined with an anterior sciatic nerve block (SNB) along the anterior pathway of the patient in supine position can reduce pain and discomfort, but could worsen the bone fractures in patients. However, FNB and SNB could be performed with ultrasound guidance hence decrease the chance to worsen the patient’s condition. The study aimed to compare the effectiveness of FNB and SNB with ultrasound guidance and intravenous morphine for pain relief in 130 patients with lower extremity fractures. Sixty five patients in Group L received FNB and SNB, in the supine position, while 65 patients in Group M received intravenous morphine. There were no difference in age, gender, diagnosis, and causes of bone fractures between the two groups. The duration of FNB and SNB was 4,78 ± 1,65 minutes, and the duration of morphine administration was 20,08 ± 3,5 minutes. The effective pain relief time was 122.5 ± 5.3 minutes in Group L and 85.5 ± 5.3 minutes in Group M. The average VAS score after 25 minutes of injection was 0.34 ± 0.08 in Group L and 3.34 ± 0.08 in Group M. No patient in both groups experienced vascular disorders, blood pressure changes, motor inhibition, nausea or vomiting, or itching. The combination of FNB and SNB along the anterior pathway with ultrasound guidance is a safe, fast, and effective pain relief technique compared to intravenous morphine.
Article Details
Keywords
Femoral nerve block - sciatic nerve block, levobupivacaine, peripheral nerve block, regional anesthesia
References
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