{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T18:02:51Z","timestamp":1771610571257,"version":"3.50.1"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,15]]},"DOI":"10.7759\/cureus.84201","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T04:53:26Z","timestamp":1747371206000},"source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Ultrasound-Guided Femoral Nerve Block and Intravenous Fentanyl For Analgesia During Positioning of Patients With Femur Fracture for Combined Spinal-Epidural Anesthesia: A Randomized Controlled Study"],"prefix":"10.7759","author":[{"given":"Hanford Bernnon","family":"Rajkumar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abinaya","family":"Ramachandran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nagalakshmi","family":"Palanisamy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","article-title":"Femoral shaft fractures","author":"Denisiuk M","year":"2025","unstructured":"Denisiuk M, Afsari A. Femoral shaft fractures. StatPearls [Internet]. StatPearls Publishing, Treasure Island (FL); 2025."},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3182545e7c","article-title":"Comparative effectiveness of regional versus general anesthesia for hip fracture surgery in adults","volume":"117","author":"Neuman MD","year":"2012","unstructured":"Neuman MD, Silber JH, Elkassabany NM, Ludwig JM, Fleisher LA. Comparative effectiveness of regional versus general anesthesia for hip fracture surgery in adults. Anesthesiology. 2012, 117:72-92. 10.1097\/ALN.0b013e3182545e7c","journal-title":"Anesthesiology"},{"key":"ref3","article-title":"Pain relief during positioning for spinal anesthesia in patients with femoral fracture: a comparison between femoral nerve block and intravenous nalbuphine","volume":"7","author":"Durrani HD","year":"2013","unstructured":"Durrani HD, Butt KJ, Khosa AH, Umer A, Pervaiz M. Pain relief during positioning for spinal anesthesia in patients with femoral fracture: a comparison between femoral nerve block and intravenous nalbuphine. Pak J Med Health Sci. 2013, 7:928-32.","journal-title":"Pak J Med Health Sci"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000020001","article-title":"Analgesia for spinal anesthesia positioning in elderly patients with proximal femoral fractures. Dexmedetomidine-ketamine versus dexmedetomidine-fentanyl","volume":"99","author":"Lee KH","year":"2020","unstructured":"Lee KH, Lee SJ, Park JH, et al.. Analgesia for spinal anesthesia positioning in elderly patients with proximal femoral fractures. Dexmedetomidine-ketamine versus dexmedetomidine-fentanyl. Medicine (Baltimore). 2020, 99:e20001. 10.1097\/MD.0000000000020001","journal-title":"Medicine (Baltimore)"},{"key":"ref5","doi-asserted-by":"crossref","DOI":"10.4103\/ijpn.ijpn_57_23","article-title":"A randomized comparative study of ultrasound-guided femoral nerve block versus fascia iliaca compartment block for reducing pain associated with positioning for spinal anesthesia in patients with proximal femur fracture","volume":"38","author":"Bansal K","year":"2024","unstructured":"Bansal K, Khandelwal M, Beniwal S, Darshan N, Bhat S, Choudhary R. A randomized comparative study of ultrasound-guided femoral nerve block versus fascia iliaca compartment block for reducing pain associated with positioning for spinal anesthesia in patients with proximal femur fracture. Indian J Pain. 2024, 38:104-8.","journal-title":"Indian J Pain"},{"key":"ref6","article-title":"Femoral nerve block versus fentanyl & dexmedetomidine analgesia for positioning patients with fracture femur for administering subarachnoid block. A comparative study","volume":"5","author":"Lakhanpal M","year":"2019","unstructured":"Lakhanpal M, Kumar R, Kumar S, Raghwendra KH. Femoral nerve block versus fentanyl & dexmedetomidine analgesia for positioning patients with fracture femur for administering subarachnoid block. A comparative study. J Indira Gandhi Ins Med Sc. 2019, 5:167-72.","journal-title":"J Indira Gandhi Ins Med Sc"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12154","article-title":"A comparison of ultrasound-guided three-in-one femoral nerve block versus parenteral opioids alone for analgesia in emergency department patients with hip fractures: a randomized controlled trial","volume":"20","author":"Beaudoin FL","year":"2013","unstructured":"Beaudoin FL, Haran JP, Liebmann O. A comparison of ultrasound-guided three-in-one femoral nerve block versus parenteral opioids alone for analgesia in emergency department patients with hip fractures: a randomized controlled trial. Acad Emerg Med. 2013, 20:584-91. 10.1111\/acem.12154","journal-title":"Acad Emerg Med"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318058a03b","article-title":"Femoral nerve blockade administered preclinically for pain relief in severe knee trauma is more feasible and effective than intravenous metamizole: a randomized controlled trial","volume":"64","author":"Barker R","year":"2008","unstructured":"Barker R, Schiferer A, Gore C, et al.. Femoral nerve blockade administered preclinically for pain relief in severe knee trauma is more feasible and effective than intravenous metamizole: a randomized controlled trial. J Trauma. 2008, 64:1535-8. 10.1097\/TA.0b013e318058a03b","journal-title":"J Trauma"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S282462","article-title":"Comparing analgesic effect of intravenous fentanyl, femoral nerve block and fascia iliaca block during spinal anesthesia positioning in elective adult patients undergoing femoral fracture surgery: a randomized controlled trial","volume":"13","author":"Bantie M","year":"2020","unstructured":"Bantie M, Mola S, Girma T, Aweke Z, Neme D, Zemedkun A. Comparing analgesic effect of intravenous fentanyl, femoral nerve block and fascia iliaca block during spinal anesthesia positioning in elective adult patients undergoing femoral fracture surgery: a randomized controlled trial. J Pain Res. 2020, 13:3139-46. 10.2147\/JPR.S282462","journal-title":"J Pain Res"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.4103\/0259-1162.176403","article-title":"Intravenous analgesia with opioids versus femoral nerve block with 0.2% ropivacaine as preemptive analgesic for fracture femur: A randomized comparative study","volume":"10","author":"Singh AP","year":"2016","unstructured":"Singh AP, Kohli V, Bajwa SJ. Intravenous analgesia with opioids versus femoral nerve block with 0.2% ropivacaine as preemptive analgesic for fracture femur: A randomized comparative study. Anesth Essays Res. 2016, 10:338-42. 10.4103\/0259-1162.176403","journal-title":"Anesth Essays Res"},{"key":"ref11","article-title":"Ultrasound guided femoral nerve block versus intravenous fontanel-to provide analgesia for positioning for neuraxial block in patients with fracture shaft femur","volume":"17","author":"Buddhi M","year":"2018","unstructured":"Buddhi M, Gupta P. Ultrasound guided femoral nerve block versus intravenous fontanel-to provide analgesia for positioning for neuraxial block in patients with fracture shaft femur.  J Dent Med Sci. 2018, 17:39-55.","journal-title":"J Dent Med Sci"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0216337","article-title":"Efficacy and safety of femoral nerve block for the positioning of femur fracture patients before a spinal block - a systematic review and meta-analysis","volume":"14","author":"Hsu YP","year":"2019","unstructured":"Hsu YP, Hsu CW, Chu KC, et al.. Efficacy and safety of femoral nerve block for the positioning of femur fracture patients before a spinal block - a systematic review and meta-analysis. PLoS One. 2019, 14:e0216337. 10.1371\/journal.pone.0216337","journal-title":"PLoS One"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-017-0380-9","article-title":"General vs. neuraxial anaesthesia in hip fracture patients: a systematic review and meta-analysis","volume":"17","author":"Van Waesberghe J","year":"2017","unstructured":"Van Waesberghe J, Stevanovic A, Rossaint R, Coburn M. General vs. neuraxial anaesthesia in hip fracture patients: a systematic review and meta-analysis. BMC Anesthesiol. 2017, 17:87. 10.1186\/s12871-017-0380-9","journal-title":"BMC Anesthesiol"},{"key":"ref14","article-title":"A comparative study between femoral nerve block and intravenous ketamine for pain management during positioning for spinal anesthesia in elderly patients with femur fracture","volume":"26","author":"Moussa ME","year":"2022","unstructured":"Moussa ME, Awad HG, Hamid HS, Abdellatif AE, Sharaf AG. A comparative study between femoral nerve block and intravenous ketamine for pain management during positioning for spinal anesthesia in elderly patients with femur fracture. Anaesth pain intensive care. 2022, 26:297-303.","journal-title":"Anaesth pain intensive care"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5049.147146","article-title":"Comparative evaluation of femoral nerve block and intravenous fentanyl for positioning during spinal anaesthesia in surgery of femur fracture","volume":"58","author":"Jadon A","year":"2014","unstructured":"Jadon A, Kedia SK, Dixit S, Chakraborty S. Comparative evaluation of femoral nerve block and intravenous fentanyl for positioning during spinal anaesthesia in surgery of femur fracture. Indian J Anaesth. 2014, 58:705-8. 10.4103\/0019-5049.147146","journal-title":"Indian J Anaesth"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000134812.00471.44","article-title":"Analgesia before performing a spinal block in the sitting position in patients with femoral shaft fracture: a comparison between femoral nerve block and intravenous fentanyl","volume":"99","author":"Sia S","year":"2004","unstructured":"Sia S, Pelusio F, Barbagli R, Rivituso C. Analgesia before performing a spinal block in the sitting position in patients with femoral shaft fracture: a comparison between femoral nerve block and intravenous fentanyl. Anesth Analg. 2004, 99:1221-4. 10.1213\/01.ANE.0000134812.00471.44","journal-title":"Anesth Analg"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.2147\/lra.s8600","article-title":"Femoral nerve block versus fentanyl: analgesia for positioning patients with fractured femur","volume":"3","author":"Lamaroon A","year":"2010","unstructured":"Lamaroon A, Raksakietisak M, Halilamien P, Hongsawad J, Boonsararuxsapong K. Femoral nerve block versus fentanyl: analgesia for positioning patients with fractured femur. Local Reg Anesth. 2010, 3:21-6. 10.2147\/lra.s8600","journal-title":"Local Reg Anesth"},{"key":"ref18","article-title":"Analgesic effect provided by femoral nerve block versus intravenous fentanyl prior to positioning for sub arachnoid block in patients with fracture femur-an open label, prospective, clinical study","volume":"7","author":"George I","year":"2020","unstructured":"George I, Dhimar AA, Upadhyay MR. Analgesic effect provided by femoral nerve block versus intravenous fentanyl prior to positioning for sub arachnoid block in patients with fracture femur-an open label, prospective, clinical study. Indian J Clin Anaesth. 2020, 7:662-8.","journal-title":"Indian J Clin Anaesth"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2009.02052.x","article-title":"Analgesia before a spinal block for femoral neck fracture: fascia iliaca compartment block","volume":"53","author":"Yun MJ","year":"2009","unstructured":"Yun MJ, Kim YH, Han MK, Kim JH, Hwang JW, Do SH. Analgesia before a spinal block for femoral neck fracture: fascia iliaca compartment block. Acta Anaesthesiol Scand. 2009, 53:1282-7. 10.1111\/j.1399-6576.2009.02052.x","journal-title":"Acta Anaesthesiol Scand"},{"key":"ref20","article-title":"Positioning of fracture femur patients for spinal anesthesia: femoral nerve block or intravenous fentanyl?","volume":"2","author":"Kumar A","year":"2018","unstructured":"Kumar A, Sinha C, Kumar A, Kumari P, Bhar D, Bhadani U. Positioning of fracture femur patients for spinal anesthesia: femoral nerve block or intravenous fentanyl?. Bali J Anaesthesiol. 2018, 2:61-64.","journal-title":"Bali J Anaesthesiol"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.3344\/kjp.2020.33.2.138","article-title":"Comparison of preoperative ultrasound guided fascia iliaca block versus femoral nerve block for proximal femur fractures before positioning for spinal anesthesia: an observational study","volume":"33","author":"Gupta M","year":"2020","unstructured":"Gupta M, Kamath SS. Comparison of preoperative ultrasound guided fascia iliaca block versus femoral nerve block for proximal femur fractures before positioning for spinal anesthesia: an observational study. Korean J Pain. 2020, 33:138-43. 10.3344\/kjp.2020.33.2.138","journal-title":"Korean J Pain"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/365704-comparison-of-ultrasound-guided-femoral-nerve-block-and-intravenous-fentanyl-for-analgesia-during-positioning-of-patients-with-femur-fracture-for-combined-spinal-epidural-anesthesia-a-randomized-controlled-study","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T04:53:28Z","timestamp":1747371208000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/365704-comparison-of-ultrasound-guided-femoral-nerve-block-and-intravenous-fentanyl-for-analgesia-during-positioning-of-patients-with-femur-fracture-for-combined-spinal-epidural-anesthesia-a-randomized-controlled-study"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,15]]},"references-count":21,"URL":"https:\/\/doi.org\/10.7759\/cureus.84201","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5,15]]}}}