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

Not Applicable

• Conditions: Pain, Acute; Ultrasound Therapy; Complications; Hip Fractures
• Interventions: Procedure: Ultrasound guided Suprainguinal Iliac Fascia Nerve Block.

• Registration Number: NCT05403073
• Lead Sponsor: Hospital San Carlos, Madrid

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.

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 Timeline

• Study First Submitted: 2022-02-25
• Status Verified: 2022-06
• Study Start: 2022-06
• Study First Submitted QC: 2022-06-01
• Last Update Submitted: 2022-06-01
• Study First Posted: 2022-06-03
• Last Update Posted: 2022-06-03
• Primary Completion: 2022-12
• Study Completion: 2023-02

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 72

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Ultrasound Nerve blocking	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.

Primary Outcome Measures

Name	Time	Method
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

Name	Time	Method
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).
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