الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
After approval from local medical and ethical committee in faculty of medicine, Mansoura University, this randomized clinical trial study was done in Emergency Hospital, cases were interviewed and written consent was obtained from all cases. Eighty four cases with ASA physical condition II- III of both sexes aged from 40- 60years were scheduled for femoral thrombectomy and classified into tw0 equal groups ( n=42 each): Spinal group, cases received spinal anesthesia with 0.5percent hyperbaric bupivacaine in a total volume in a total volume 2.5ml. Fascia iliaca group, cases received ultrasound guided fascia iliaca block with 40ml of 0.25percent bupivacaine for each block Data collected for each block were, block characteristics ( onset and duration of sensory and motor block), visual analogue scale for assessment of postoperative pain, analgesic duration and analgesic consumption, hemodynamics ( heart rate and mean arterial blood pressure ) and complications ( nausea and vomiting). Demographic data included (age, sex, height and weight) and duration of surgery were reported. After data collection and analysis this study conducted that Fascia iliaca compartmental block could be considered as a promising alternative anesthetic technique to spinal anesthesia with better hemodynamic parameters, providing a better quality of analgesia with less consumption of systemic analgesics, improving postoperative pain score, prolonged the time to the first rescue analgesia and improve patient satisfaction in patients undergoing femoral thrombectomy for acute lower limb ischemia.