Related Experiment Video
Updated: Mar 20, 2026
Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
Published on: January 31, 2025
A Comparative Study to Assess the Analgesic Efficacy of Ultrasound Guided Fascia Iliaca Compartment Block versus
Monika Gandhi1, Rashpal Singh Gill1, Aishwarya Sharma1
1Department of Anaesthesia, MGM Medical College, Indore, Madhya Pradesh, India.
Background:
Proper pain control before subarachnoid block (SAB) is must in proximal femur fractures as patients cannot tolerate movement due to severe pain. This study compares ultrasound-guided fascia iliaca compartment block (USG-FICB) with femoral nerve block (USG-FNB) for pre-SAB analgesia.
Materials And Methods:
Ninety patients scheduled for elective femur fracture surgery under SAB were randomly divided. Group FICB received 25 ml of 0.25% bupivacaine and Group FNB got 15 ml. Pain was assessed using Numerical Rating Scale (NRS) scale. Time for first rescue dose, side effects, and patient satisfaction also noted.
Results:
Both groups had similar baseline NRS. Group FICB showed faster pain relief and better positioning comfort during SAB (NRS 3.00 vs. 4.28 P = 0.001). Time to first rescue analgesia was more in FICB (4.67 vs. 2.71 h P = 0.001). Satisfaction scores were also higher. Hemodynamics stayed stable, and adverse events were rare.
Conclusion:
USG-FICB is more effective than USG-FNB in controlling pain before SAB in femur fracture surgery.
