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:: Volume 18, Issue 3 (Iranian South Medical Journal 2015) ::
Iran South Med J 2015, 18(3): 538-546 Back to browse issues page
The Effect of Fascia illica Block on Severity of Pain and Morphine Consumption in Open fixation of Femur
Abdolreza Najafi anaraki1, Kamran Mirzaei 2
1- Departments of Anaesthesiology and Intensive Care Unit, Bushehr University of Medical Sciences, Bushehr, Iran
2- Departments of Community Medicine, Faculty of Medicine, Bushehr University of Medical Sciences, Bushehr, I , k.mirzaei@bpums.ac.ir
Abstract:   (3305 Views)

Background: Open fracture of femur is common after trauma and fixation of it induced moderate to severe post surgery pain Materials and Methods: In a clinical randomized study 78 elective patients divided to two equal groups. All the patients in case and control groups received five milligrams morphine sulfate intramuscular before surgery. In case group patient received fascia illica block as described by Dalens.pain score is recorded after surgery and in 2, 4, 6, 12 and 24 hours post surgery by visual analogous scale. Data of nausea, vomiting shivering and sedation are recorded. Results: Hemodynamic parameters measured between two groups of patients and controls and anesthetic complications such as shivering, nausea and vomiting in patients in both groups were not significantly different. Time to first analgesic demand in patients who received the intervention are later and the total amount of analgesic intake in the intervention group are less than the control group, also, the intervention group had a higher level of satisfaction after the operation (p=0.001) Conclusion: Fascia illica block is simple and effective method in reducing pain with minor side effect. The patient satisfaction is higher relative to common analgesic technique.

Keywords: Fascia illica block, post operative pain, open fixation of femur
Full-Text [PDF 614 kb]   (837 Downloads)    
Type of Study: Original | Subject: Musculoskeletal System
Received: 2013/09/28 | Accepted: 2014/04/9 | Published: 2015/06/28
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Najafi anaraki A, Mirzaei K. The Effect of Fascia illica Block on Severity of Pain and Morphine Consumption in Open fixation of Femur. Iran South Med J. 2015; 18 (3) :538-546
URL: http://ismj.bpums.ac.ir/article-1-700-en.html

Volume 18, Issue 3 (Iranian South Medical Journal 2015) Back to browse issues page
دانشگاه علوم پزشکی بوشهر، طب جنوب ISMJ

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