Pre-operative Fascia Iliaca Blocks and Opioid Requirements in Hip Fracture Patients

Spectrum Health Hospitals0 sites29 target enrollmentAugust 11, 2016

ConditionsHip Fracture

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Hip Fracture
Sponsor: Spectrum Health Hospitals
Enrollment: 29
Primary Endpoint: Total Pre-op IV Morphine Equivalents (TIVME)
Status: Completed
Last Updated: 2 years ago

Overview Investigators Eligibility Criteria Outcomes Similar Trials

Overview

Brief Summary

The purpose of this study is to determine if non-continuous local anesthetic fascia iliaca blocks performed in the emergency department are effective for preoperative analgesia in hip fracture patients. Investigators hypothesize that patients with these blocks will have lower opioid requirements than patients in a historical group in whom blocks were not performed.

Registry

clinicaltrials.gov

Start Date

August 11, 2016

End Date

May 2019

Last Updated

2 years ago

Study Type

Observational

Sex

All

Investigators

Sponsor

Spectrum Health Hospitals

Responsible Party

Sponsor

Eligibility Criteria

Inclusion Criteria

•low energy femoral neck and pertrochanteric-type hip fractures
•intact cognition upon admission and ability to provide written informed consent

Exclusion Criteria

•pathologic fractures (tumor)
•high energy fractures
•concomitant fractures besides hip fractures
•chronic home opioid exposure prior to hospitalization
•moderate to severe dementia
•pre-fracture hospitalization
•time from arrival to block \>6 hours
•time from arrival to OR \<6 hours or \>48 hours

Outcomes

Primary Outcomes

Total Pre-op IV Morphine Equivalents (TIVME)

Time Frame: From Date of admission until date of surgery, approximately 48 hours

IV morphine equivalent dosing pre-operatively

Secondary Outcomes

Mean Pre-op Pain Score(From Date of admission until date of surgery, approximately 48 hours)
Length of Hospital Stay (LOS)(Through study completion, approximately 5 days)