COMPARATIVE STUDY BETWEEN 0.25% LEVOBUPIVACAINE AND 0.375% ROPIVACAINE IN LANDMARK GUIDED FASCIA ILIACA BLOCK FOR FRACTURE FEMUR SURGERIES
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Keywords
Fascia iliaca block, femur fracture surgery, levobupivacaine, ropivacaine, regional anesthesia, perioperative pain management
Abstract
Effective perioperative pain management is essential for orthopedic procedures like femur fracture surgeries. The fascia iliaca compartment block (FICB) is a promising technique for regional anesthesia. This study compares the efficacy and safety of 0.25% levobupivacaine and 0.375% ropivacaine in landmark-guided FICB for these surgeries.
Methodology: This study was conducted over 18 months, including 80 ASA I/II patients aged 20–65. Patients were divided into two groups: Group L received 30 mL of 0.25% levobupivacaine, and Group R received 30 mL of 0.375% ropivacaine. Pain relief, onset and duration of sensory and motor blocks, hemodynamic stability, and patient satisfaction were assessed. Visual Analogue Scale (VAS) scores and vital parameters were recorded intra- and postoperatively.
Results: Demographic characteristics were comparable between groups. Group L demonstrated a longer duration of analgesia and lower heart rates at most time points compared to Group R (p < 0.05). Significant differences in diastolic blood pressure were observed during intra-operative monitoring, with Group L showing relatively stable parameters. Postoperative VAS scores indicated better pain relief in Group L, delaying the need for rescue analgesia. Both groups had similar safety profiles without significant adverse effects.
Conclusion: 0.25% levobupivacaine in landmark-guided FICB offers superior pain relief, prolonged analgesic duration, and better hemodynamic stability than 0.375% ropivacaine in femur fracture surgeries. It is a safer and more effective option for perioperative pain management.
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Dr. Shruti Chakraborty
Junior Resident at Department of Anesthesia, Hind Institute of Medical Sciences, Barabanki, Lucknow, Uttar Pradesh, India
Dr. Somnath longani
Professor at Department of Anaesthesiology, Hind Institute of Medical Sciences Barabanki, Lucknow, Uttar Pradesh, India
Dr. Shagufta Ansari
Associate Professor at Department of Anaesthesiology, Hind Institute of Medical Sciences, Barabanki, Lucknow, Uttar Pradesh, India