A Study Comparing the Efficacy of Postoperative Analgesia with Fascia-Iliaca Compartmental Block vs IV Tramadol In Surgeries Around Hip

Background: Various drugs like Non-steroidal anti-inflammatory drugs, opioids like midazolam, ketamine, tramadol, fentanyl have been in use to reduce the pain postoperatively. Nerve blocks have come up as an effective and a safe alternative to provide pain relief. This study was designed to compare the efficacy of post operative analgesia with fascia-iliaca compartmental block vs intravenous Tramadol. Methods: A total of 60 patients satisfying the inclusion criteria were included in the study and randomly allocated to two groups of 30 each,Group F : were administered Fascia Iliaca Compartment Block postoperatively. Group T : were administered intravenous Tramadolpostoperatively .Hemodynamic variables like heart rate, non invasive blood pressure, saturation of oxygen, respiratory rate, nausea and vomiting were recorded after the block/ iv Tramadol at regular intervals .The analgesia provided by either of the modes(fascia iliacacompartmental block vs iv tramadol) was assessed by using Visual analogue scale scores at regular intervals . Results: The difference observed was statistically significant( p-less than0.05) showing Fascia Iliaca Compartment Block provided superior analgesia compared to intravenous Tramadol for postoperative analagesia, Side effects like Nausea,Vomiting were significantly lower in Fascia Iliaca Compartment Block group then in Tramadol group.