Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online:103
  • Home
  • Print this page
  • Email this page
Year : 2014  |  Volume : 28  |  Issue : 3  |  Page : 129-133

Comparative study of fascia iliaca compartment block and three in one block for postoperative analgesia in patients undergoing lower limb orthopedic surgeries

Department of Anaesthesiology, Surat Municipal Institute of Medical Education and Research, Veer Narmad South Gujarat University, Surat, Gujarat, India

Correspondence Address:
Malti Pandya
602, Neel Ganga Aptt. Opp. St. Xaviers High School, Near "Tanishq", Ghod, Dod Road, Surat - 395 007, Gujarat
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-5333.138435

Rights and Permissions

Background: The fascia iliaca compartment block and three in one block (two single injections, anterior approach procedures) was compared simultaneously to block the femoral, obturator, genitofemoral and lateral femoral cutaneous (LFC) nerves in patients undergoing lower limb orthopedic surgeries. Study Design: Prospective randomized single-blinded study. Materials and Methods: Sixty patients of ASA I, II and III scheduled for hip and femur shaft surgery under spinal anesthesia were included in the study. On completion of the surgery, patients were randomly divided into two groups, Group I and Group II each consisting of 30 patients. Group I received fascia iliaca compartment block and Group II received three in one block. Patients of both the groups received 35-40 ml of 0.25% bupivacaine. Sensory blockade of femoral nerve, obturator nerve, LFC nerve and genitofemoral nerve, and motor blockade of femoral and obturator nerves were observed by weakness in knee extension and thigh adduction. Duration of analgesia, number of doses of rescue analgesics required in 24 hours, visual analog scale (VAS) scores at rest and during physiotherapy were also noted. Results: Sensory blockade of femoral, obturator and genitofemoral nerves, and motor blockade of femoral and obturator nerves did not differ between the two groups; however, sensory blockade of LFC nerve was significantly higher in Group I. VAS at 12 hours after surgery during movement of 3.43 ± 2.36 in Group I and 4.57 ± 0.15 in Group II were statistically significant (P value = 0.03) but the duration of analgesia between Group I and Group II was not statistically significant (P > 0.05). Conclusion: Fascia iliaca compartment block may represent an attractive alternative to three in one block for treatment of pain at rest and during physiotherapy.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded2323    
    Comments [Add]    
    Cited by others 2    

Recommend this journal