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Comparative Studies | Anaesthesiology | Volume 15 Issue 1, January 2026 | Pages: 1146 - 1148 | India
Comparative Study of 0.25% Levobupivacaine and 0.25% Ropivacaine in Ultrasound-Guided Fascia Iliaca Block for Positioning Elderly Patient with Femur Fracture
Abstract: Elderly patients with fractured femur present with severe pain that makes positioning for sub-arachnoid block challenging and physiologically stressful. Regional analgesic techniques, particularly fascia iliaca compartment block (FICB), can improve patient comfort and procedural conditions. This randomized, double-blind study compared the efficacy and safety of 0.25% levobupivacaine and 0.25% ropivacaine administered via ultrasound-guided FICB prior to positioning for spinal anaesthesia in 60 elderly patients with fractured femur, aged 60 years or above. Both study drugs demonstrated comparable reductions in pain scores, onset of sensory blockade, and optimum positioning quality without significant haemodynamic fluctuations. No serious adverse events were observed. These findings suggest that either agent can be safely and effectively used in elderly patients for FICB, with drug selection guided by availability and cost effectiveness.
Keywords: Fascia iliaca compartment block, fracture femur, elderly patients, levobupivacaine, ropivacaine
How to Cite?: Dr. Vaibhav Singh, Dr. Neelam Singh, Dr. Arvind Kumar, Dr. Ankit Pratap Singh, "Comparative Study of 0.25% Levobupivacaine and 0.25% Ropivacaine in Ultrasound-Guided Fascia Iliaca Block for Positioning Elderly Patient with Femur Fracture", Volume 15 Issue 1, January 2026, International Journal of Science and Research (IJSR), Pages: 1146-1148, https://www.ijsr.net/getabstract.php?paperid=SR26117031227, DOI: https://dx.dx.doi.org/10.21275/SR26117031227