{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T19:02:54Z","timestamp":1788289374235,"version":"build-2803163510"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,10]]},"abstract":"\n Background:<\/jats:title>\n Analgesia in patients with fracture shaft femur is usually insufficient as physician usually relies on parental analgesia in such situations. Local anesthetic blockade of femoral nerve to provide analgesia in fracture shaft femur is an under-used technique. We conducted a study to evaluate the efficacy of femoral nerve block (FNB) with 0.5% ropivacaine for acute pain relief in patients with fracture shaft femur.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n A total of 50 patients were studied as they present in an emergency ward. All patients received an FNB with 15 ml of 0.5% ropivacaine. The onset of block, duration of analgesia, patient\u2019s acceptance after 24 h together with the effect of block were assessed.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The onset of analgesia occurred in 5.34 \u00b1 1.10 min after the block. Pain scores decreased significantly from 9.12 \u00b1 0.9, preblock visual analog scale (VAS) score to 1.84 \u00b1 1.25, VAS score at 10 min after the block (\n P<\/jats:italic>\n < 0.001). The quality of analgesia did not change when patient underwent radiological examination (38.9 \u00b1 5.22 min after block) and traction application (69.4 \u00b1 8.98 min after block). The duration of analgesia observed was 227 \u00b1 63.99 min. Patient acceptance after 24 h of FNB was good in 86% patients. There were no side effects.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n It was concluded that in the emergency ward, rapid, effective, and long lasting analgesia can be achieved by safe and simple FNB in patients with fracture shaft femur.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/1658-354x.159471","type":"journal-article","created":{"date-parts":[[2015,6,29]],"date-time":"2015-06-29T04:46:41Z","timestamp":1435553201000},"page":"439-441","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":15,"title":["Femoral nerve block for acute pain relief in fracture shaft femur in an emergency ward"],"prefix":"10.4103","volume":"9","author":[{"given":"Mukesh","family":"Somvanshi","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Government Medical College and A. G. Hospitals, Kota, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archana","family":"Tripathi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Government Medical College and A. G. Hospitals, Kota, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naval","family":"Meena","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Government Medical College and A. G. Hospitals, Kota, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250525","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1080\/10903120590891705","article-title":"Prehospital pain management: A comparison of providers\u2019 perceptions and practices","volume":"9","author":"Hennes","year":"2005","journal-title":"Prehosp Emerg Care"},{"key":"R2-20250525","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1136\/emj.4.3.163","article-title":"Femoral nerve block in the initial management of femoral shaft fractures","volume":"4","author":"McGlone","year":"1987","journal-title":"Arch Emerg Med"},{"key":"R4-20250525","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1016\/S0952-8180(98)00097-X","article-title":"Bilateral continuous 3-in-1 nerve blockade for postoperative pain relief after bilateral femoral shaft surgery","volume":"10","author":"Capdevila","year":"1998","journal-title":"J Clin Anesth"},{"key":"R5-20250525","doi-asserted-by":"crossref","first-page":"1852","DOI":"10.1213\/01.ane.0000287676.39323.9e","article-title":"A randomized controlled trial of femoral nerve blockade administered preclinically for pain relief in femoral trauma","volume":"105","author":"Schiferer","year":"2007","journal-title":"Anesth Analg"},{"key":"R6-20250525","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1097\/00115550-200305000-00006","article-title":"Fascia iliaca compartment block for femoral bone fractures in prehospital care","volume":"28","author":"Lopez","year":"2003","journal-title":"Reg Anesth Pain Med"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01437113-201509040-00020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:05:30Z","timestamp":1787774730000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01437113-201509040-00020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.4103\/1658-354x.159471","relation":{},"ISSN":["1658-354X","0975-3125"],"issn-type":[{"value":"1658-354X","type":"print"},{"value":"0975-3125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10]]}}}