Single Shot Fascia Iliaca Block vs Femoral Nerve Block for Analgesia for Surgical Fixation of Hip Fractures

Not Applicable

Completed

• Conditions: Hip Fracture
• Interventions: Drug: Ropivacaine

• Registration Number: NCT02330302
• Lead Sponsor: Changi General Hospital

Brief Summary

Hip fractures are common in our elderly population and is associated with pain before and after surgery. The current pain management for patients who have undergone surgery for hip fractures include a combination of oral painkillers, opioids (eg morphine) and regional anaesthesia techniques, which involves the injection of local anaesthetic drugs near nerves supplying the hip joint to numb the operation site. As opioids have many side effects, especially in the elderly patients, regional anaesthesia techniques can help to reduce the use of opioids and the related side effects. This may enhance their recovery and length of hospital stay

Detailed Description

Not available

Study Timeline

• Study Start: 2014-08
• Study First Submitted: 2014-12-31
• Study First Submitted QC: 2014-12-31
• Study First Posted: 2015-01-01
• Primary Completion: 2015-03
• Study Completion: 2015-08
• Status Verified: 2018-01
• Last Update Submitted: 2018-01-23
• Last Update Posted: 2018-01-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Patients scheduled for surgical fixation of hip fracture
• Patients with isolated inter-trochantric fracture
• American Society of Anesthesiologists (ASA) physical status 1 to 3
• Patients who are able to give their own consent

Exclusion Criteria

• Patients unable to give consent or inability to communicate/ cooperate
• Patients with regular consumption of strong opioids (morphine, oxycodone) or steroids
• Patients with allergy to local anaesthetics or any drugs included in the study
• Patients with contraindications to spinal anaesthesia such as coagulation disorders/ thrombocytopenia and local infection at site of injection

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Fascia Iliaca block	Ropivacaine	Procedure: Ultrasound-guided suprainguinal approach to fascia iliaca block Drug: Ropivacaine 0.5% 30mls
Femoral nerve block	Ropivacaine	Procedure: Ultrasound-guided femoral nerve block Drug: Ropivacaine 0.5% 30mls

Primary Outcome Measures

Name	Time	Method
Pain scores	up to 24 hours	resting and dynamic pain scores are obtained pre-intervention, 30mins post intervention (and on positioning for spinal anaesthesia), 1 hr post-operatively and at 24hrs post intervention

Secondary Outcome Measures

Name	Time	Method
opioid requirement/consumption	for first 24 hrs (including intra operatively) following intervention	need for additional opioids during first 24hrs following intervention record of any opioid related side effects will be kept as well

Trial Locations

Locations (1)

Changi General Hospital; 🇸🇬 Singapore, Singapore