COMPARISON OF FASCIA ILIACA COMPARTMENT BLOCK AND INTRAVENOUS FENTANYL FOR ANALGESIA DURING POSITIONING FOR SPINAL ANESTHESIA IN HIP FRACTURE SURGERIES

Effective pain management in hip fracture surgeries is crucial for optimal recovery. Spinal anesthesia is commonly used but positioning patients can be challenging, especially in frail, elderly individuals. Two main approaches for managing pain during positioning are the fascia iliaca compartment block (FICB) and intravenous fentanyl. FICB, a regional anesthesia technique, targets the lumbar plexus, providing longer-lasting pain relief with fewer systemic side effects compared to opioids. It reduces the need for additional analgesics, improving patient comfort and reducing intraoperative complications. FICB is especially beneficial in elderly patients with comorbidities. Intravenous fentanyl offers rapid pain relief but has a shorter duration and carries risks such as respiratory depression, sedation, and nausea, particularly in the elderly. Frequent dosing may lead to inconsistent pain control. Studies show that FICB provides superior pain relief and fewer side effects than fentanyl, making it a preferable choice for hip fracture surgeries. This study aims to compare their efficacy. Objective: 1. To study the effect of analgesia for positioning during spinal anaesthesia using VAS score in fascia iliaca compartment block and intravenous fentanyl 2. To compare the effect of analgesia in fascia iliaca compartment block and intravenous fentanyl 3. The time taken for giving spinal anaesthesia Materials and method: This study is on patients undergoing hip fracture surgery under subarachnoid block and was done in basaweshwara teaching and general hospital,MR medical college gulbarga. It was a Prospective interventional study included 60consented patients of age group 30 to 60 years belonging to American society of anesthesiologists class I or II and posted for hip fracture surgery under subarachnoid block.