الفهرس 
ANATOMY AND SONOANATOMY OF FASCIA ILICACUS AND QUADRATUS LUMBORUMOnly 14 pages are availabe for public view
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Abstract
ABSTRACT
Background: Proximal femur fracture is more common in elderly patients who have already multiple comorbidities. also, it a painful fracture and inadequately controlled pain can have dramatic physiological and psychological effects such as acute delirium.
Aim of the Work: Aim of this study is to analyze the effectiveness of ultrasound-guided trans muscular (anterior) quadratus lumborum block (QLB) versus fascia iliaca compartment block (FICB) for postoperative analgesia in proximal femur fractures. Main variables were patient-reported pain on the visual analogue scale (VAS), analgesics requirement and ambulation.
Patients and Methods: After obtaining Approval from the research ethics committee of anaesthesia and intensive care department, Ain Shams University for our Prospective, Randomized controlled Trial that conducted in Ain Shams University Hospitals starting from 2020 for one year. group I: Patients received ultrasound guided fascia iliaca compartment block with 0.25% bupivacaine 50 ml (not exceeding toxic dose of bupivacaine 2.5mg/kg) at the end of surgery. group Q: Patients received ultrasound guided anterior Quadratus Lumbroum block with 0.25% bupivacaine 50 ml(not exceeding toxic dose of bupivacaine 2.5mg/kg) at the end of surgery.
Results: In our study we compared both blocks using 50 ml of bupivacaine 0.25% with maxium 2 mg/ kg at the end of surgery after spinal anesthesia in 128 patients (64 for each block) and using nalbuphine as a rescue analgesia upon request. Our 1st outcome was the first-time patients asked for analgesia and their total consumption in the 1st 24 hours, our 2nd outcome was the time patients started to ambulate
Conclusion: Patients receiving postoperative anterior QL block for proximal femur fracture demonstrated delayed first rescue analgesia and lower total nalbuphine consumption with early ambulation than patients who received FICB.