Ultrasound Guided Nerve Block for Hip Fracture Pain Management at Emergency Department
Study Details
Study Description
Brief Summary
The main objective is to determine if ultrasound guided suprainguinal iliac fascia block leads in better clinical outcomes such as pain management or time to home discharge.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Determining effectiveness in ultrasound guided suprainguinal iliac fascia block as a tool of comfortability of patients with less use of opioids and their side effects and its possible influence in early discharge to home has no evidence in orthopedics literature till today.
Ultrasound becomes an accessible tool at Emergency Departments and Orthopedic Surgeons are increasingly interested its clinical use.
This clinical trial wants to investigate if its use for hip nerve block leads in better clinical outcomes such as pain management or time to home discharge.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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No Intervention: No Nerve Blocking Pain management at ER Department will be as usually with iv drugs and 3 kilogram soft traction. |
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Active Comparator: Ultrasound Nerve blocking Pain management at ER Department will be as usually with iv drugs and ultrasound guided Suprainguinal Iliac Fascia Nerve Block. |
Procedure: Ultrasound guided Suprainguinal Iliac Fascia Nerve Block.
Pain management at ER Department will be as usually with iv drugs and ultrasound guided Suprainguinal Iliac Fascia Nerve Block.
|
Outcome Measures
Primary Outcome Measures
- Pain Control after Ultrasound guided nerve block vs iv painkillers [During Emergency Department stay (up to 12 hours)]
Using Visual Analogue Scale (1-No pain; 10 -worst pain) measure difference between pain during arrival at Emergency Department and 30 minutes after Ultrasound guided nerve block vs iv painkillers
Secondary Outcome Measures
- Patient Hip Mobility with tolerable pain [Immediately Before Discharging home assessed up to 2 weeks.]
Range of Motion Degrees
- Functionality: Sit to Stand Test [Immediately Before Discharging home assessed up to 2 weeks.]
The 30-second chair stand involves recording the number of stands a person can complete in 30 seconds
- Opioid Use [Immediately Before Discharging home assessed up to 2 weeks.]
Quantity of Opioid drugs consumed during Hospital stay expressed in Morphine equivalent doses
- Patient Satisfaction [Immediately Before Discharging home assessed up to 2 weeks.]
Patient subjective satisfaction in a numeric scale from 1 (completely dissatisfied with pain management) to 10 (highest possible satisfaction with pain management).
Eligibility Criteria
Criteria
Inclusion Criteria:
- Low energy Hip Fracture
Exclusion Criteria:
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Don´t meet Inclusion Criteria
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Present any other synchronic fracture.
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Drug allergy for drugs used for nerve blocking
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Skin infection at injection site.
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Contraindication due to comorbidities.
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Pathologic fractures.
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Cognitive impairment
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Do not give his consent.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Hospital San Carlos, Madrid
Investigators
- Principal Investigator: Borja Alcobía-Díaz, MD, PhD, Clinical Assistant
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 22/027-EC_X