Intra- and post-operative analgesia for patients undergoing surgery for hip fracture - role of Fascia Illiaca Compartment Block

Not Applicable

Completed

• Conditions: Surgery: Analgesia; Surgery; Analgesia

• Registration Number: ISRCTN75659782
• Lead Sponsor: Record Provided by the NHSTCT Register - 2007 Update - Department of Health

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2007-09-28
• Last Update Posted: 30 October 2017

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

All adult ASA physical status 1, 2 and 3 patients with hip fracture posted for DHS or cannulated screw fixation

Exclusion Criteria

1. Dementia/confusion as it is difficult to assess pain relief
2. Pre-operative chest infection and/or poor respiratory function - Temperature 380C or more, white cell count> 11000 mm3, Respiratory rate > 25 per minute, auscultation and or chest x-ray evidence, Sp02 < 90 % on air
3. Congestive Cardiac Failure (CCF)
4. Bed bound or use of 2 or more aids for mobilisation pre-fracture
5. Malignancy
6. Coagulopathy
7. Known or suspected allergy to Ropivacaine and/or Morphine
8. Local infection at the site where the block is to be performed
9. Refusal of permission to approach General Practitioner

Justification for these exclusion criteria:
Pre-fracture poor mental status, poor mobility, CCF, poor respiratory function and malignancy are independent risk factors for poor outcome following hip fracture The morbidity and mortality in this group is high and unlikely to be influenced by choice of technique. The others are standard contra-indications for any nerve block technique.

Study & Design

• Study Type: Interventional
• Study Design: Not specified