PAIN RELIEF IN PATIENTS WITH HIP FRACTURE- COMPARATIVE STUDY OF ON ARRIVAL FEMORAL BLOCK VERSES INTRAVENOUS TRAMADOL

Dr Mayuri G. Tambakhe, Dr Sunil S. Lawhale, Dr Naresh Paliwal, Dr Jayesh Ingale

Abstract


Aim and Objectives: The present study was undertaken to compare pain relief, haemodynamics, glycemic response
and rescue analgesic requirement after femoral block versus tramadol.
Method: In this randomized controlled trial, total 60 patients of ASA grade I and II, aged between 40-70 years and who
presented with hip fracture were enrolled and randomly divided into two groups. Group A received femoral block with
PNS with 0.5 ml/kg of 0.25% bupivacaine and group B received intravenous infusion of systemic opioid, inj tramadol 100
mg in 100 ml NS over 10 minutes. In each patient pulse, BP, RBS, pain by VAS score was checked just after admission and
then at regular interval. Also time for rescue analgesia was noted in each group.
Results: Patients receiving femoral nerve block had significantly lower VAS pain scores from 0 min to 24 h after
admission than did group B, (p-value <0.001). Pulse rate decreased significantly in group A patients from 0 min to 24 h
compared with group B (p < 0.001). There was no significant difference observed between two groups with respect to
blood pressure and random blood sugar (RBS), (p>0.05). Rescue analgesia was required at around 10 hrs in group A
while it was required at around 6 hrs in group B.
Conclusion: Femoral nerve block provides better analgesia than intravenous tramadol in terms of VAS score,
haemodynamic stability, duration of analgesia and glycemic response.


Keywords


Femoral nerve block, Bupivacaine, Tramadol, Hip fracture, Rescue analgesia, Glycemic response

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