The Effect of Spinal Column Flexion on the Block Quality in FemoralFractures, Regional Anesthesia Applied in The Lateral Decubitus Position

ABSTRACT The Effect of Spinal Column Flexion on the Block Quality in Femoral Fractures, Regional Anesthesia Applied in The Lateral Decubitus Position Objectıve: The aim of our study is to investigate the effects of spinal column flexion on hemodynamic parameters in patients with femoral fracture. The other aim of our study is to investigate the effects of spinal column flexion on block quality and unilaterality. Materıals and Methods: We included patients between the ages of 18-85 who had a femur fracture and were scheduled for open December surgery. Pericapsular nerve block (PENG) was performed to reduce preoperative position pain in all patients. Local anesthetic agent was applied to all patients in the lateral decubitus position at the level of 0.5% 7.5mg heavy buvasin L3-4 to the subarachnoid December. The patients were divided into two groups according to the waiting position after spinal anesthesia. Group N was divided into two groups as patients whose spinal column was held in an anatomical position after spinal anesthesia, and Group F was divided into those whose spinal column was held in a flexion position for 10 minutes. Patients provided with hypoesthesia, the surgical procedure was started. Systolic arterial pressure (SAB), mean arterial pressure (OAB), diastolic arterial pressure (DAB), heart rate, oxygen saturation (SpO2), sensory and motor levels of the patients were recorded. Results: There is no significant difference between the demographic data between the groups. Dec.Dec. Although the frequency of hypotension among the groups was higher in Group N, it was not found statistically significant (p>0 Dec, 05). The vomiting rate in group N was statistically significant (p<0.05). Motor Deceleration times were not significant between the groups (p>0.05). However, the motor block initiation time was significantly shorter on the operation side in both groups (p<0.05). Sensory block levels differ significantly in both side applications in the straight and flexion group. When the sequence averages are taken into account, the sensory block levels of the flexion group are lower. Conclusion: In this study, the effect of spinal column flexion on sensory block was found to be significantly lower in femoral fractures, while its effect on hemodynamic parameters was not found to be significant. We think that more work is needed on this issue. Keywords: Spinal anesthesia, hypotension, spinal column flexion, PENG block, femoral fracture