Ultrasound Guided Nerve Block for Hip Fracture Pain Management at Emergency Department

Hip Fractures Clinical Trial

Official title:

Ultrasound Guided Nerve Block for Hip Fracture Pain Management at Emergency Department

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05403073
• Other study ID #: 22/027-EC_X
• Status: Not yet recruiting
• Phase: N/A
• Start date: June 2022
• Est. completion date: February 2023

Study information

• Verified date: June 2022
• Source: Hospital San Carlos, Madrid
• Contact: Borja Alcobía-Díaz, MD, PhD
• Phone: 913303001
• Email: dralcobiacot[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 72
• Est. completion date: February 2023
• Est. primary completion date: December 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Low energy Hip Fracture

Exclusion Criteria:

• Don´t meet Inclusion Criteria

• Present any other synchronic fracture.

• Drug allergy for drugs used for nerve blocking

• Skin infection at injection site.

• Contraindication due to comorbidities.

• Pathologic fractures.

• Cognitive impairment

• Do not give his consent.

Related Conditions & MeSH terms

• Acute Pain
• Emergencies
• Fractures, Bone
• Hip Fractures
• Pain, Acute
• Ultrasound Therapy; Complications

Intervention

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.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Hospital San Carlos, Madrid

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain Control after Ultrasound guided nerve block vs iv painkillers	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	During Emergency Department stay (up to 12 hours)
Secondary	Patient Hip Mobility with tolerable pain	Range of Motion Degrees	Immediately Before Discharging home assessed up to 2 weeks.
Secondary	Functionality: Sit to Stand Test	The 30-second chair stand involves recording the number of stands a person can complete in 30 seconds	Immediately Before Discharging home assessed up to 2 weeks.
Secondary	Opioid Use	Quantity of Opioid drugs consumed during Hospital stay expressed in Morphine equivalent doses	Immediately Before Discharging home assessed up to 2 weeks.
Secondary	Patient Satisfaction	Patient subjective satisfaction in a numeric scale from 1 (completely dissatisfied with pain management) to 10 (highest possible satisfaction with pain management).	Immediately Before Discharging home assessed up to 2 weeks.