Imani F, Rahimzadeh P, Faiz S H R, Sayarifard A, Alebouyeh M R, Entezary S R et al . Comparison between the effect of 0.2% and 0.3% Bupivacaine in fascia iliac block on postoperative pain in patients with femoral or hip fracture. JAP 2015; 6 (2) :59-68
URL:
http://jap.iums.ac.ir/article-1-5202-en.html
1- Hazrat Rasul Medical Complex, Iran University of Medical Sciences
2- Hazrat Rasul Medical Complex, Iran University of Medical Sciences , poupak_rah@hotmail.com
3- Tehran University of Medical Sciences.
Abstract: (4070 Views)
Aims and Background: Pain after surgery is a major problem for patients with fractures of the femur or hip. We
studied the effect of Bupivacaine at a concentration of 0.2% and 0.3% in fascia iliac block on postoperative pain.
Materials and Methods: The study was a Randomized double-blinded clinical trial. A total of 48 patients who
had femur or hip fracture underwent fasia iliac block. Patients were randomly assigned to two groups receiving
Bupivacaine at a concentration of 0.2% and 0.3%, respectively. Then the two groups were compared in terms of
pain and satisfaction with pain control and intensity of motor block.
Findings: Postoperative pain score in 0.3% group was significantly lower than 0.2%(p< 0.001) while the patient
satisfaction of pain control and intensity of motor block were significantly higher in Group 0.2% (p=0.04). Onset
of analgesia had no significant difference between the two groups.
Conclusion: Bupivacaine with concentration of 0.3% in fascia iliac block could further decrease the pain score
after hip or femoral fracture surgery however patient satisfaction with pain control and intensity of motor block
were higher with 0.2. % concentration of Bupivacaine.
Keywords: Bupivacaine, fascia iliac block, postoperative pain
Type of Study:
Original |
Subject:
Regional anesthesia Received: 2015.04.18 | Accepted: 2015.06.4 | Published: 2015.06.22