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The Effect of Femoral Nerve Block on Opioid Requirements After Surgery for a Femur Fracture in Children

Phase 1
Completed
Conditions
Pain, Postoperative
Registration Number
NCT00175591
Lead Sponsor
University of British Columbia
Brief Summary

This study evaluates the effect of a femoral nerve block on opioid requirements following femoral fracture fixation with flexible nails in the paediatric population. This is a double blind, prospective randomized clinical trial.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
25
Inclusion Criteria
  • Femoral shaft fracture requiring intra-medullary nailing
  • Surgery performed within 24 hours of injury
  • Ability of child or family to use patient-controlled analgesia (PCA)
  • No allergy or sensitivity to bupivacaine
  • Informed consent and assent
Exclusion Criteria
  • Open femur fractures
  • Closed fractures needing open reduction
  • Fractures associated with neurovascular complications
  • Fractures associated with compartment syndrome
  • Repeat femoral surgeries
  • Patients who received a femoral nerve block more than 1 hour prior to surgery
  • Complex associated injuries or pre-existing condition that will delay time to ambulation
  • Children who are allergic and/or sensitive to bupivacaine

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Postoperative morphine requirement; the average 8 hour morphine requirement (mcg/kg/hr) will be recordeduntil patient discharge
Secondary Outcome Measures
NameTimeMethod
Time (hours) from end of surgery to sitting on bed with legs hanging over the side
Sedation/pruritis/nausea/vomiting/urinary retention/respiratory rateevery 8 hours
Time to dischargefrom end of surgery
Pain ratingimmediately post-op

Trial Locations

Locations (1)

British Columbia Children's Hospital, Department of Orthopaedics

🇨🇦

Vancouver, British Columbia, Canada

British Columbia Children's Hospital, Department of Orthopaedics
🇨🇦Vancouver, British Columbia, Canada

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