Unilateral fascia iliaca block (FIB) for postoperative analgesia in fracture neck of femur surgery; Comparison with standard postoperative analgesia

Aim: to compare the comfort and postoperative pain in patients undergoing fascia iliaca block with standard postoperative analgesia in fracture neck of femur surgery. method: 100 patients with asa class p1,p2 and p3 undergoing surgery were included in this study. fascia iliaca block (fib) was applied at the end of surgery. all surgeries were performed under spinal anaesthesia. in group a 50 patients received fib along with standard postoperative analgesia and in group b,50 patients received only standard postoperative analgesia with injection diclofenac sodium 75mg im,8 hourly and rescue analgesia with 2mg injection nalbuphine according to patient complaint of pain. results: the degree of pain was significantly lower in patients receiving fib and they were more comfortable after surgery and quantity of injection nalbuphine rescue analgesia was significantly reduced,compared with patients receiving standard postoperative analgesia only. conclusion: fib provides effective post operative analgesia and is associated with markedly reduced analgesia consumption and patient remains more comfortable and satisfied after surgery.