Continuous Fascia Iliaca Compartment Block in Geriatric Hip Fracture

Hip Fractures Clinical Trial

Official title:

Pain Management in Geriatric Hip Fracture Patients With Ultrasound-guided Continuous Fascia Iliaca Compartment Block

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04914988
• Other study ID #: Si 113/2018
• Status: Completed
• Start date: February 1, 2018
• Est. completion date: February 15, 2019

Study information

• Verified date: June 2021
• Source: Mahidol University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB at Emergency Department or patient's ward. The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.

Description:

The Enhance Recovery Program of pain management in geriatric hip fracture has been set up as a part of fast track at Siriraj Hospital since September 2017. The ultrasound-guided (USG) fascia iliaca compartment block (FICB) is routinely offered to patients with a hip fracture by acute pain service (APS) anesthesiologist. The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB. The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 20
• Est. completion date: February 15, 2019
• Est. primary completion date: January 30, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• patient age equal or more than 65 years old
• patient with acute hip fracture within 7 days
• patient with NRS = 5

Exclusion Criteria:

• patient refusal
• history of local anesthetic allergy
• inability to communicate or cognitive dysfunction
• multiple fracture involvement

Related Conditions & MeSH terms

• Acute Pain
• Acute Pain Due to Trauma
• Fractures, Bone
• Hip Fractures

Locations

Country	Name	City	State
Thailand	Faculty of Medicine Siriraj Hospital, Mahidol University	Bangkok

Sponsors (1)

Lead Sponsor	Collaborator
Mahidol University

Country where clinical trial is conducted

Thailand, 

References & Publications (7)

Birnbaum K, Prescher A, Hessler S, Heller KD. The sensory innervation of the hip joint--an anatomical study. Surg Radiol Anat. 1997;19(6):371-5. — View Citation

Ftouh S, Morga A, Swift C; Guideline Development Group. Management of hip fracture in adults: summary of NICE guidance. BMJ. 2011 Jun 21;342:d3304. doi: 10.1136/bmj.d3304. — View Citation

Guay J, Parker MJ, Gajendragadkar PR, Kopp S. Anaesthesia for hip fracture surgery in adults. Cochrane Database Syst Rev. 2016 Feb 22;2:CD000521. doi: 10.1002/14651858.CD000521.pub3. Review. — View Citation

Guay J, Parker MJ, Griffiths R, Kopp S. Peripheral nerve blocks for hip fractures. Cochrane Database Syst Rev. 2017 May 11;5:CD001159. doi: 10.1002/14651858.CD001159.pub2. Review. Update in: Cochrane Database Syst Rev. 2020 Nov 25;11:CD001159. — View Citation

Hebbard P, Ivanusic J, Sha S. Ultrasound-guided supra-inguinal fascia iliaca block: a cadaveric evaluation of a novel approach. Anaesthesia. 2011 Apr;66(4):300-5. doi: 10.1111/j.1365-2044.2011.06628.x. Epub 2011 Feb 24. — View Citation

Orosz GM, Magaziner J, Hannan EL, Morrison RS, Koval K, Gilbert M, McLaughlin M, Halm EA, Wang JJ, Litke A, Silberzweig SB, Siu AL. Association of timing of surgery for hip fracture and patient outcomes. JAMA. 2004 Apr 14;291(14):1738-43. — View Citation

White SM, Moppett IK, Griffiths R, Johansen A, Wakeman R, Boulton C, Plant F, Williams A, Pappenheim K, Majeed A, Currie CT, Grocott MP. Secondary analysis of outcomes after 11,085 hip fracture operations from the prospective UK Anaesthesia Sprint Audit o — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	numerical rating scale at rest	numerical rating scale 0-10 (0=no pain, 10=worst pain)	Change from baseline numerical rating scale at 30 minutes post-block
Primary	numerical rating scale during movement	numerical rating scale 0-10 (0=no pain, 10=worst pain)	Change from baseline numerical rating scale at 30 minutes post-block
Secondary	Numerical rating scale during movement	numerical rating scale 0-10 (0=no pain, 10=worst pain)	Within 48 hours postoperative
Secondary	Rate of complications of continuous fascia iliaca compartment analgesia	local anesthetic systemic toxicity, leakage, infection	Within 48 hours postoperative
Secondary	Duration of hospital admission	number of days	from hospital admission until hospital discharge, an average of 1 week
Secondary	Number of participants with morbidity and mortality	myocardial disease, deep vein thrombosis, delirium, death	6 weeks after hospital discharge