Comparison of Ultrasound Guided Femoral Nerve Block And Parenteral Tramadol In Acute Trauma Patients With Fracture Femur: An Observational Study
Keywords:Femoral nerve block, ropivacaine, tramadol, rescue analgesia
Aim: The aim of present study is to compare the analgesic effects of USG guided femoral nerve block (FNB) with parenteral tramadol in patients with fractured femur shaft. Methodology: This prospective randomized observational study was carried out in the Department of Anaesthesiology and Critical care, Dr. S.N. Medical College, Jodhpur and associated group of hospitals after getting approval from ethical committee. In our study total 60 patients were enrolled and divided randomly into two groups. One group received Femoral Nerve Block (Group R- 0.5% ropivacaine) and other group received intravenous tramadol ( group T). A written and informed consent was taken from the patient after explaining the procedure to the patient. Patients were observed for onset and duration of analgesia, hemodynamic and respiratory parameters changes, side effects or complications of study drugs and block. Results: it was observed that FNB with ropivacaine provides earlier and prolonged duration of analgesia as compared to intravenous tramadol. The reduction in rescue analgesia might be due to prolonged and better analgesia provided by ropivacaine in R group. None of our patients in both the study groups experienced haemodynamic unstability. Conclusion: The USG guided Femoral nerve block with 0.5% ropivacaine is safe, simple and effective method for relieving intense pain due to femur shaft fracture. No systemic side effects were observed and haemodynamic stability was also well maintained in patients with moderate general condition.
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Copyright (c) 2022 Vikas Rajpurohit, Manish Jha, Shailesh Sharma, Manish Singh Chauhan
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