ltrasound-guided femoral nerve block as a mode of analgesia in patients presenting with a hip fracture to the Emergency Department.
- Conditions
- Pain management in patients who have a radiological diagnosis of fractured neck of femur who present to the emergency department.Injuries and Accidents - Fractures
- Registration Number
- ACTRN12609000526279
- Lead Sponsor
- St Vincents
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 46
Radiological proof of a fractured neck of femur.
1. Women lactating, pregnant or of childbearing potential who are not willing to avoid becoming pregnant during the study.
2. <18years old.
3. Allergy to ropivacaine.
4. Allergy to paracetamol and morphine.
5. Anticogulated patients or those with significant coagulation abnormalities that increase their risk of bleeding.
6. localized injection site infections.
7. neurological deficits in the distribution of the femoral nerve noted.
8. Consent denied.
9. Documented severe hepatic disease
patient is unable to give consent themselves.
10. patients with a history of heart block or who are on amiodarone
11. patients who have had an acute cardiac event in the last 3 months.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Morphine use in patients for both groups.[We are assessing morphine usage over the first 24hours of their hospital admission. That is from the time of presenting to the emergency department. Any morphine given by the ambulance service will also be included in this first 24hour period.]
- Secondary Outcome Measures
Name Time Method Pain scores and subsequent pain scores will be looked at in each group and compared over the first 12 hours. The score will be from 0 to 10, 10 being the worst pain.[Pain scores in both groups will be assessed: at enrolment into the study, 30 minutes after enrolment or after nerve block has been given then at 4 then 8 then 12 hours after enrolment.]