PT  - JOURNAL ARTICLE
AU  - Aziz, Lutful
TI  - #34627 Ultrasound guided Fascia iliaca vs PENG with LFCN block in fracture neck of femur: Our experience
AID  - 10.1136/rapm-2023-ESRA.597
DP  - 2023 Sep 01
TA  - Regional Anesthesia & Pain Medicine
PG  - A313--A313
VI  - 48
IP  - Suppl 1
4099  - http://rapm.bmj.com/content/48/Suppl_1/A313.2.short
4100  - http://rapm.bmj.com/content/48/Suppl_1/A313.2.full
SO  - Reg Anesth Pain Med2023 Sep 01; 48
AB  - Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submission Application for ESRA Abstract Prizes: I don’t wish to apply for the ESRA PrizesBackground and Aims Peripheral nerve blocks rather than systemic analgesia are usually used in older patients with fracture neck femur. In this study, we compared fascia iliaca vs PENG with LFCN block for fracture neck of femur surgery.Methods Geriatric group of patients of age 70 years or over, ASA 2 & 3 with body weight 50 to 90 Kg were included in our study. Out of 40 patients, 20 were taken alternatively for fascia iliaca (Gr-F) or in PENG with LFCN (Gr-P) group. Drugs mixture for the nerve blocks contained equal volume of 2% Lidocaine in adrenalin and 0.5% bupivacaine (plain) with 10 mg dexamethasone. Ultrasound-guided peripheral nerve block was performed with 40ml for FI block in Gr-F and 30ml ml and 10 ml respectively in Gr-P for PENG and LFCN blocks. VRS was assessed 30 minutes following the nerve block procedure. All patients received CSE with 10 mg Bupivacaine heavy for spinal anesthesia and Inj. dexmedetomidine infusion at 0.5 mic/kg/hr for sedation as our routine anesthetic technique in the intraoperative period. Pain, hemodynamics, complications, timing of initiation of epidural infusion were studied.Results Students T test was applied for the analysis. During positioning VRS score at 30min was Gr-P 1.15 (± 0.344), in Gr-F it was 2.2 (± 0.589) (p<0.0256). Per-operative hemodynamic responses were not significantly different (P<0.08). Duration of analgesia in Gr-P was 16.96 (±1.86) hours and Gr-F 13.69 (± 1.04) hours with P value <0.293.Conclusions PENG with LFCN block revealed better analgesic quality during positioning for CSE performance in our study.