Simple jQuery Dropdowns
Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/29699
Full metadata record
DC FieldValueLanguage
dc.contributor.authorArissara Iamaroonen_US
dc.contributor.authorManee Raksakietisaken_US
dc.contributor.authorPathom Halilamienen_US
dc.contributor.authorJitaporn Hongsawaden_US
dc.contributor.authorKwankamolen_US
dc.contributor.authorBoonsararuxsapongen_US
dc.contributor.otherMahidol Universityen_US
dc.date.accessioned2018-09-24T09:29:50Z-
dc.date.available2018-09-24T09:29:50Z-
dc.date.issued2010-04-30en_US
dc.identifier.citationLocal and Regional Anesthesia. Vol.3, No.1 (2010), 21-26en_US
dc.identifier.issn11787112en_US
dc.identifier.other2-s2.0-77953448623en_US
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=77953448623&origin=inwarden_US
dc.identifier.urihttp://repository.li.mahidol.ac.th/dspace/handle/123456789/29699-
dc.description.abstractPurpose: Fracture of femur is a painful bone injury, worsened by any movement. This prospective study was performed to compare the analgesic effects of femoral nerve block (FNB) with intravenous (IV) fentanyl prior to positioning patients with fractured femur for spinal block. Patients and methods: Sixty-four ASA I-III patients aged 18-80 years undergoing surgery for femur fracture were randomized into two groups. Fifteen minutes before spinal block, the FNB group received nerve stimulator-assisted FNB with a mixture of 20 mL bupivacaine 0.5% and 10 mL normal saline 0.9%, and the fentanyl group received two doses of IV fentanyl 0.5 μg/kg with a five-minute interval between doses. Numeric rating pain scores were compared. During positioning, fentanyl in 0.5 μg/kg increments was given every five minutes until pain scores were ≤4. Results: There were no statistically significant differences between the groups according to pain scores, need for additional fentanyl, and satisfaction with positioning before spinal block. Conclusion: We were unable to demonstrate a benefit of FNB over IV fentanyl for patient positioning before spinal block. However, FNB can provide postoperative pain relief, whereas side effects of fentanyl must be considered, and analgesic dosing should be titrated based on pain scores. A multimodal approach (FNB + IV fentanyl) may be a possible option. © 2010 Iamaroon et al, publisher and licensee Dove Medical Press Ltd.en_US
dc.rightsMahidol Universityen_US
dc.source.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=77953448623&origin=inwarden_US
dc.subjectMedicineen_US
dc.titleFemoral nerve block versus fentanyl: Analgesia for positioning patients with fractured femuren_US
dc.typeArticleen_US
dc.rights.holderSCOPUSen_US
Appears in Collections:Scopus 2006-2010

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.