0.25% Bupivacaine with 8 mg Dexamethasone and 50 meg Clonidine as adjuvant on fascia iliaca compartment block in open reduction and internal fixation surgeries to femoral fractures-a prospective randomized study

Parameters such as heart rate (HR), mean arterial pressure (MAP), systolic blood pressure (SBP), diastolic blood pressure (DBP), oxygen saturation levels, and visual analog scale (VAS) score was monitored and recorded. In the immediate postoperative period, the patient was shifted to the postoperative room and the hemodynamic parameters such as heart rate (HR), mean arterial pressure (MAP), systolic blood pressure (SBP), diastolic blood pressure (DBP), oxygen saturation levels were monitored and recorded. The mean body mass index (BMI) was 26.14 in Group 1, 25.64 in Group 2, and 25.22 in Group 3 [Table 1], A study by Kumar et al., included 70 cases with proximal femoral fracture planned for open reduction and internal fixation divided randomly into Group  (0.25% bupivacaine alone) and Group D (0.25% bupivacaine with 8 mg dexamethasone). The mean difference of requirement of rescue analgesia and duration of rescue analgesia was statistically significant among the three study groups [Table 4], A study by Sana et al, noticed no significant change in the blood pressure between Group 1 (0.25% bupivacaine) and Group 2 (0.25% bupivacaine with 8mg dexamethasone).