The effect of dexamethasone on duration of analgesia from fascia iliaca compartment blocks in emergency department patients with hip fractures

Phase 2

Recruiting

• Conditions: Hip fracture; Fascia Iliaca Compartment Block; Emergency medicine - Other emergency care; Musculoskeletal - Other muscular and skeletal disorders; Injuries and Accidents - Fractures; Anaesthesiology - Pain management

• Registration Number: ACTRN12621000789864
• Lead Sponsor: Bashir Chakar

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2021-06-23
• Last Update Posted: 27 December 2021

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 72

Inclusion Criteria

1.Male and female patients with a radiographically confirmed hip fracture
2.Age greater than or equal to 18 years
3.Emergency department triage between 07:30 and 23:59
4.Willing and able to provide informed consent.

Exclusion Criteria

1.Critically unwell patients
2.Fractures at multiple anatomical sites
3.Delirium
4.Severe cognitive impairment
5.Infection at the injection site
6.Previous femoral bypass surgery
7.Allergy to local anaesthetics
8.Chronic pain condition
9.Known polyneuropathy
10.History of opioid abuse
11.Pregnant or breastfeeding
12.No trained clinician available to perform the USG-FICB.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Duration of analgesia[Time to opioid rescue analgesia from 30 minutes post USG-FICB – as logged on the electronic medical record (eMR)]

Secondary Outcome Measures

Name	Time	Method
Opioid (morphine equivalents) consumption [preoperatively, or within 24 hours of admission, whichever is shorter – as logged on the eMR.];Naloxone use [preoperatively, or within 24 hours of admission, whichever is shorter – as logged on the eMR.];Antiemetic use [preoperatively, or within 24 hours of admission, whichever is shorter – as logged on the eMR];Pain at rest as measured by numerical rating scale (NRS)[measured at 30 and 60 minutes post USG-FICB.]