S. Pramoth Chander, Mahilamani  , 
    Analgesia for the Performance of Spinal Anaesthesia in Sitting Position in the Patients with Proximal Femoral Fracture: A Comparison Between Ultrasound Guided Fascia Iliaca Block and Femoral Nerve Block,
    Research Journal of Medical Sciences,
    Volume 19,Issue 3,
    2025,
    Pages 104-108,
    ISSN 1815-9346,
    makrjms.2025.3.104.108,
    (https://makhillpublications.co/view-article.php?doi=makrjms.2025.3.104.108)
    Abstract: <p style="text-align:justify">Fracture of the femur occurs most commonly after trauma or trivial fall especially in the elderly. This causes significant morbidity. Surgery for fracture femur may be done under regional or general anesthesia. It has been shown that regional anesthesia is associated with lesser morbidity and mortality compared to general anesthesia. There were no other significant differences between the groups. They concluded that on Both ultrasound‐guided continuous femoral nerve block and fascia iliaca compartment block with the novel cannula‐over‐needle provide effective anesthesia and postoperative analgesia for elderly hip replacement patients. After obtaining informed and written consent from 60 ASA 1, 2 and 3 patients, who were scheduled for orthopedic surgeries (lower limb) in Sree mookambika college of medical sciences were participated in this study. Hospital ethical committee approval was obtained.60 patients were randomized into 2 groups, inclusion criteria are ASA 1,2 and 3, Age 18‐65 years, Both sexes, Proximal femour fixation surgery. Exclusion criteria are ASA 4, Age &lt;18 and &gt;65, Allergic to local anaesthetics, Hepatic or renal failure, Coagulation abnormalities, Infection/Inflammation at the site of injection. Positioning patients for spinal anesthesia with fractured femur is challenging because even minimal overriding of the fracture ends is exceedingly painful. Providing analgesia before positioning not only increases patient comfort but also improves positioning and successful spinal block Fascia illiaca block offers superior analgesia compared to femoral nerve block in patients with femur fracture during positioning for spinal anaesthesia. Visual analog scale during positioning of spinal anaesthesia Both techniques provided reduction in VAS during positioning but Reduction in VAS by FICB was higher than FNB in the present study with higher significance. Study demonstrate that fascia iliaca compartment block provides better analgesia than femoral nerve block in terms of facilitating optimal positioning for subarachanoid block in patients undergoing proximal femoral fracture fixation procedure. Being done under ultrasound guidance the risk of complications are minimal.</p>

    Keywords: Spinal anesthesia; proximal femoral fracture