A Randomized Controlled Trial Comparing Single Shot Fascia Iliaca Block With Femoral Nerve Block for Analgesia Following Surgical Fixation of Hip Fractures
Overview
- Phase
- N/A
- Intervention
- Ropivacaine
- Conditions
- Hip Fracture
- Sponsor
- Changi General Hospital
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Pain scores
- Status
- Completed
- Last Updated
- 8 years ago
Overview
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
Investigators
Eligibility Criteria
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
Arms & Interventions
Femoral nerve block
Procedure: Ultrasound-guided femoral nerve block Drug: Ropivacaine 0.5% 30mls
Intervention: Ropivacaine
Fascia Iliaca block
Procedure: Ultrasound-guided suprainguinal approach to fascia iliaca block Drug: Ropivacaine 0.5% 30mls
Intervention: Ropivacaine
Outcomes
Primary Outcomes
Pain scores
Time Frame: 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 Outcomes
- opioid requirement/consumption(for first 24 hrs (including intra operatively) following intervention)