Volume 15, Issue 4 (2-2025)
JAP 2025, 15(4): 1-10 |
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Ethics code: IR.AJUMS.HGOLESTAN.REC.1
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Vaziri M, Ghomeishi A, Shariati S, Mozafari M. Comparing the effect of lidocaine and ketamine with lidocaine and dexamethasone in femoral block on pain reduction after femur fracture surgery.. JAP 2025; 15 (4) :1-10
URL: http://jap.iums.ac.ir/article-1-5777-en.html
URL: http://jap.iums.ac.ir/article-1-5777-en.html
1- Department of Anesthesia, Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- Department of Anesthesia, Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran ,dr.alighomeishi@gmail.com
3- Department of Orthopedic, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- Department of Anesthesia, Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran ,
3- Department of Orthopedic, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract: (83 Views)
Abstract
Introduction: Femoral nerve block can lead to painless surgery during the operation and pain reduction after the operation. Therefore, this study was conducted with the aim of comparing the effect of lidocaine and ketamine with lidocaine and dexamethasone in femoral block on reducing pain after femur fracture surgery.
Methods: This study was a clinical trial study, the statistical population of which was patients undergoing femur fracture surgery with class I and II anesthesia. Patients in three groups A: with lidocaine 1% (kg/mg 4) and ketamine (50 mg), group B: with lidocaine 1% (kg/mg 4) and dexamethasone (8 mg) and group C: with lidocaine 1% (kg/mg 4 ) it placed. He was subjected to femoral nerve block using an ultrasound device and a sterile needle (26 G). The patient's VAS was checked and at 0 (immediately after the removal of the spinal block), 15 and 30 minute after surgery, and 1, 2, 3, 6, 9, 12 and 24 hours after the operation. When the VAS was above 3, 0.2 mg/kg of pethidine was intravenous injected. at the end of 24 hours, the total doses received by the patient were calculated.
Findings: The results of the present study showed that comparing the effect of lidocaine and ketamine in femoral block with lidocaine and dexamethasone on pain reduction after femur fracture surgery based on pain intensity at 0, 15 and 30 minutes and 1,2,3,24 hours after surgery was dominant in lidocaine and ketamine group.
Conclusion: The intensity of pain and the dose of narcotics used after the operation in the femoral blocker group with lidocaine and ketamine were lower than the other groups and there was a significant difference.
Introduction: Femoral nerve block can lead to painless surgery during the operation and pain reduction after the operation. Therefore, this study was conducted with the aim of comparing the effect of lidocaine and ketamine with lidocaine and dexamethasone in femoral block on reducing pain after femur fracture surgery.
Methods: This study was a clinical trial study, the statistical population of which was patients undergoing femur fracture surgery with class I and II anesthesia. Patients in three groups A: with lidocaine 1% (kg/mg 4) and ketamine (50 mg), group B: with lidocaine 1% (kg/mg 4) and dexamethasone (8 mg) and group C: with lidocaine 1% (kg/mg 4 ) it placed. He was subjected to femoral nerve block using an ultrasound device and a sterile needle (26 G). The patient's VAS was checked and at 0 (immediately after the removal of the spinal block), 15 and 30 minute after surgery, and 1, 2, 3, 6, 9, 12 and 24 hours after the operation. When the VAS was above 3, 0.2 mg/kg of pethidine was intravenous injected. at the end of 24 hours, the total doses received by the patient were calculated.
Findings: The results of the present study showed that comparing the effect of lidocaine and ketamine in femoral block with lidocaine and dexamethasone on pain reduction after femur fracture surgery based on pain intensity at 0, 15 and 30 minutes and 1,2,3,24 hours after surgery was dominant in lidocaine and ketamine group.
Conclusion: The intensity of pain and the dose of narcotics used after the operation in the femoral blocker group with lidocaine and ketamine were lower than the other groups and there was a significant difference.
Type of Study: Applicable |
Subject:
Acute pain managment
Received: 2024.11.22 | Accepted: 2024.12.13 | Published: 2025.02.28
Received: 2024.11.22 | Accepted: 2024.12.13 | Published: 2025.02.28
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