Ultrasound Guided Nerve Block for Hip Fracture Pain Management at Emergency Department
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hip Fractures
- Sponsor
- Hospital San Carlos, Madrid
- Enrollment
- 72
- Primary Endpoint
- Pain Control after Ultrasound guided nerve block vs iv painkillers
- Last Updated
- 3 years ago
Overview
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.
Investigators
Borja Alcobía-Díaz MD, PhD
MD, PhD, Principal Investigator
Hospital San Carlos, Madrid
Eligibility Criteria
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.
Outcomes
Primary Outcomes
Pain Control after Ultrasound guided nerve block vs iv painkillers
Time Frame: 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 Outcomes
- Patient Satisfaction(Immediately Before Discharging home assessed up to 2 weeks.)
- Patient Hip Mobility with tolerable pain(Immediately Before Discharging home assessed up to 2 weeks.)
- Functionality: Sit to Stand Test(Immediately Before Discharging home assessed up to 2 weeks.)
- Opioid Use(Immediately Before Discharging home assessed up to 2 weeks.)