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Sub-Psoas Infiltration in the Emergency Department (SPIED). Comparing the pain relief provided by the three different nerve blocks currently in use for treating hip fractures in the emergency department.

Not Applicable
Completed
Conditions
Fractured Neck of Femur
Regional Anaesthesia
Anaesthesiology - Pain management
Injuries and Accidents - Fractures
Registration Number
ACTRN12619001410145
Lead Sponsor
ismore Base Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
58
Inclusion Criteria

Inclusion Criteria
1. Adult patients (>18 years) presenting to Lismore Base Hospital Emergency Department with radiologically confirmed #NOF. The neck of femur fractures include:
a. Sub-capital fracture
b. Surgical neck fracture
c. Intertrochanteric fracture
d. Peritrochanteric fracture
2. The patient receives a nerve block for their fractured neck of femur in the Lismore Base Hospital Emergency Department
3. The nerve block may occur before or after the radiological confirmation of diagnosis

Exclusion Criteria

Exclusion Criteria:
Regional anaesthesia not provided in the Lismore Base Hospital Emergency Department
Allergy to amide local anaesthetics
Infection of the skin overlying at the overlying the site of potential nerve block
The patient has already received a nerve block for this fracture prior to arrival in at Lismore Base Hospital
Other reason at the discretion of clinician/s
Femoral shaft fracture

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in pain score using the visual analogue scale (VAS) or pain assessment in advanced dementia (PAINAD) pain scale.[Pain scores will be documented prior to regional anaesthesia and for 12 hours after regional anaesthesia. Pain scores will be documented at 15, 30 and 60 minutes, then hourly. ]
Secondary Outcome Measures
NameTimeMethod
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