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Asian Journal of Scientific Research
Year: 2015  |  Volume: 8  |  Issue: 3  |  Page No.: 429 - 435

Comparison of Femoral Nerve Block with Intravenous Morphine Sulfate for Pain Relief of Femoral Fracture

Arash Forouzan, Kambiz Masoumi, Narges Yadegar, Fakher Rahim, Maryam Feli and Ali Asgari Darian    

Abstract: The aim of this study was to compare the analgesic effects of Femoral Nerve Block (FNB) with intravenous Morphine Sulfate in different type of femoral fractures in the emergency department. In this randomized not blind clinical trial all patients aged 15-60 diagnosed as femoral fractures with neurovascular and hemodynamic stability were assessed for eligibility. Patients randomized into two groups to receive either FNB blindly with Lidocaine 1% or intravenous Morphine Sulfate 0.1 mg kg–1 the patients`pain score recorded before and 5, 30 and 60 min after intervention using visual analogue scale. The fracture type ( neck, inter-trochanteric or shaft of femur) was recorded for all patients. Present results showed that the pain score before and 5 min after intervention was not significantly different between two groups (p = 0.65 and p = 0.77, respectively) but 30 and 60 min after intervention the pain score in FNB group was significantly lower than that of the Morphine group (p = 0.002 and p = 0.001, respectively). Comparing the pain score at minute 30, as the primary outcome, was not significantly different in neck of femur fracture (p = 0.76), while these differences were significant in inter-trochanteric and shaft of femur fracture (p = 0.00 and p = 0.013, respectively). Present results showed that the blind FNB could be used as an effective analgesic treatment in patients with femoral fracture.

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