Özet:

A single dose of femoral nerve blockage (FNB) during transition from the seed to the surgical table under ultrasound guidance in the shoulder break surgery, the aim was to evaluate its effectiveness in seating positions before lateral decubite or spinal anesthesia Methods and tools: We applied a single dose of FNB under ultrasound guidance on the seed. Visual Analog Scale (VAS) scores were assessed during the transfer from the seed to the surgical table and in the lateral decubit position (Group I) or in the seating position (Group II) prior to spinal anesthesia Results: VAS scores during transfer 2.96 ± 0.55 in Group I and lateral decubit position 3.33 ± 0.54, starting 7.47 ± 0.68, significantly decreased from P <0.001 VAS scores. However, after transfer, there was a significant increase in VAS scores when patients passed to the lateral decubit position II. In the group, the VAS scores during the transfer of 3.06 ± 0.52 and the start in the seating position of 2.96 ± 0.49 were significantly lower than the 7.56 ± 0.62, V <0.001 VAS scores. There was no significant increase in the VAS scores when patients passed to post-transfered seating position P <0.001 Discussions and Results: FNB for pain management in bacterial fractures was effective during patient transfers and in both seating and lateral decubit positions prior to spinal anesthesia. However, the lower rise of VAS scores in the seating position compared to the lateral decubit position has shown that the seating position is less painful. We aimed to evaluate the effectiveness of single-dose femoral nerve blockade (FNB) under ultrasonographic guidance in hip fracture surgery during transfer from the stretcher to the operating table, in lateral decubitis or sitting positions before the spinal anesthesia Methods: We performed single-dose FNB under ultrasonographic guidance on the stretcher. Visual Analogue Scale (VAS) scores were calculated during transfer from the stretcher to the operating table and in lateral decubitus position (Group I) or in sitting position (Group II) before spinal anesthesia Results: In group I, VAS scores during transfer 2.96±0.55 and in lateral decubitis position 3.33±0. 54 were significantly lower than the VAS scores at the beginning 7.47±0.68, P<0.001. However, there was a significant increase in VAS scores when the patients moved to lateral decubitis position after transfer. In group II, VAS scores during transfer 3.06±0.52 and in the sitting position 2.96±0.49 were significantly lower than the VAS scores at the beginning 7.56±0.62, P<0.001. There was no significant increase in VAS scores when the patients moved to sitting position after transfer P<0.001 Conclusion: Performing FNB for pain management in hip fracture patients was effective during patient transfer and in both sitting and lateral decubitis positions before spinal anesthesia. However, the lesser elevation of VAS scores in sitting position when compared to lateral decubitis position indicated that sitting position was less painful Keywords: Femoral nerve block; Spinal anesthesia; Femur fracture