Comparative evaluation of XXXX and intravenous fentanyl for positioning during spinal anaesthesia in surgery of femur @entity174 .

@entity1 @entity174 @entity158 @entity2096 @entity616
BACKGROUND: Spinal anaesthesia is the preferred technique to fix @entity174 of the femur. @entity158 does not allow ideal positioning for this procedure. Intravenous fentanyl and @entity2096 are commonly used techniques to reduce the @entity158 during position for spinal anaesthesia however; results are conflicting regarding superiority of @entity2096 over intravenous fentanyl. AIMS: We conducted this study to compare the analgesic effect provided by @entity2096 (FNB) and intra- venous (IV) fentanyl prior to positioning for central @entity616 in @entity1 undergoing surgery for femur @entity174 . @entity1 AND METHODS: In this randomized prospective study 60 @entity1 scheduled for @entity174 under spinal were included. @entity1 were distributed in two groups through computer generated random numbers table; Femoral @entity616 group (FNB) and Intravenous fentanyl group (FENT). In FNB group @entity1 received FNB guided by a peripheral nerve stimulator (Stimuplex; B Braun, Melsungen, AG) 5 minutes prior to positioning. 20mL, 1.5% lidocaine with adrenaline (1:200,000) was injected incrementally after a negative aspiration test. @entity1 in the fentanyl group received injection fentanyl 1  g/kg IV 5 mins prior to positioning. Spinal block was performed and @entity158 scores before and during positioning were recorded. Statistical analysis was done with Sigmaplot version-10 computer software. Student t-test was applied to compare the means and P < 0.05 was taken as significant. RESULTS: VAS during positioning in group FNB: 0.57    0.31 versus FENT 2.53    1.61 (P = 0.0020). Time to perform spinal anesthesia in group FNB: 15.33    1.64 min versus FENT 19.56    3.09 min (P = 0.000049). Quality of @entity1 positioning for spinal anesthesia in group FNB 2.67   0.606 versus FENT 1.967    0.85 (P = 0.000027). @entity1 acceptance was less in group FENT (P = 0.000031). CONCLUSION: Femoral @entity616 provides better analgesia, @entity1 satisfaction and satisfactory positioning than IV fentanyl for position during spinal anaesthesia in @entity1 of @entity174 femur.
