Fascia Iliaca Block in the Emergency Department for Analgesia After Femoral Neck Fracture
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Femoral Neck Fracture
- Sponsor
- Centre Hospitalier Universitaire Vaudois
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Pain scores at rest
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
Femoral neck fracture is very common in the elderly and can produce severe to moderate pain. As this pathology is not life-threatening, waiting time in the emergency department may be prolonged due to the high number of unforeseen cases with patients remaining in pain.
Fascia iliaca block consists of injecting local anaesthetics below the fascia iliaca, resulting in the anaesthesia of the femoral, the lateral cutaneous and the obturator nerves, with effective analgesia.
Detailed Description
The objective of this trial is to compare the fascia iliaca block with a sham injection on patients arriving in the emergency department with a femoral neck fracture. The fascia iliaca block will be performed with an anatomical landmark technique and a volume of 30 mLs of bupivacaine 0.5% with epinephrine 5 mcg/mL will be injected.
Investigators
Eric Albrecht
PD Dr Eric Albrecht, MD, MER, DESA, Program Director, Regional Anaesthesia
Centre Hospitalier Universitaire Vaudois
Eligibility Criteria
Inclusion Criteria
- •patients with femoral neck fracture in the emergency department
Exclusion Criteria
- •presence of demencia
- •body weight less than 40kg
- •presence of a cancer or patients receiving chemotherapy
- •allergy to local anaesthetics
Outcomes
Primary Outcomes
Pain scores at rest
Time Frame: 45 minutes after the injection
Secondary Outcomes
- Pain scores at rest(60 min, 4h, 8h, 12h, 24h after the injection)
- Pain scores on movement(60 min, 4h, 8h, 12h, 24h after the injection)
- Length of stay(up to 3 weeks)
- Morphine consumption(60 min, 4h, 8h, 12h, 24h after the injection)