Femoral-sciatic nerve block for positioning during spinal anaesthesia in lower limb fracture surgeries
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Abstract
This study compares the analgesic efficacy of ultrasound-guided femoral and sciatic nerve blocks using 0.25% levobupivacaine with intravenous morphine for patient positioning before spinal anesthesia at the Emergency Department. Fifty patients: 26 patients (group L) received femoral and sciatic nerve blocks, while 24 patients (group M) received intravenous morphine before undergoing spinal anesthesia for lower limb fracture fixation surgery. Key parameters, including VAS pain scores, spinal anesthesia duration, patient satisfaction, and adverse effects, were monitored. Results showed that Group L had lower VAS pain scores, shorter spinal anesthesia duration, and better patient positioning quality compared to Group M. Both groups had similar satisfaction levels and no significant adverse effect . Thus, ultrasound-guided femoral and sciatic nerve blocks provided superior pain relief and improved patient positioning quality compared to intravenous morphine.
Article Details
Keywords
Femoral-sciatic nerve block, lower limb fracture surgeries
References
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