Emergency Physician-performed Ultrasound-guided Femoral Nerve Blocks in Patients With Hip Fractures.
- Conditions
- Hip Fractures
- Interventions
- Procedure: ultrasound-guided femoral nerve blockDrug: Intravenous or intramuscular pain medication
- Registration Number
- NCT05969561
- Lead Sponsor
- National Taiwan University Hospital
- Brief Summary
In this prospective study, emergency physicians perform ultrasound-guided femoral nerve block for patients with hip fractures. We compare the effectiveness of analgesia and patient satisfaction of ultrasound-guided femoral nerve block with liberal use of the pain medicine in the emergency department. The primary outcome is the assessment of time to relief the pain with fewer adverse effects and less rescue pain medication use. The secondary outcome is patient satisfaction and adverse effects for different method of pain control.
- Detailed Description
The aim of this study is to compare the effectiveness of ultrasound-guided femoral nerve blocks performed by emergency physicians for pain control in the emergency department with traditional pain medicine.
This study is a prospective before-and-after design. The enrollees are 20-year-old and older adult patients with hip fractures. We use numerical rating scale using a 0-10 scale to assess pain severity at the different time frame after giving pain medicine. The scale zero means "no pain" and scale 10 means "the worst pain imaginable".
The primary outcome is assessed by the reduction of pain scale which are taken on a numeric rating scale every 30 minutes before and after pain management. The secondary outcome compares complications, adverse effects and patient satisfaction for different method of pain control.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 80
- Patients older than 20-year-old with hip fractures
- Stay in the emergency department for at lease two hours
- hemodynamic unstable
- major trauma in addition to hip fractures
- the use of any pain management before the arrival of emergency department
- chronic opioid use
- inability to understood the numerical rating scale after instruction
- allergy to local anesthetics
- coagulopathy
- injection site infection
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
Group Intervention Description Ultrasound-guided femoral nerve block ultrasound-guided femoral nerve block Patients with hip fractures had underwent Ultrasound-guided femoral nerve block performed by emergency physicians. The liberal use of pain medication Intravenous or intramuscular pain medication Patients with hip fractures had given intravenous or intramuscular opioids or NSAID at the emergency department.
- Primary Outcome Measures
Name Time Method a short time of pain relief 2 hours The numerical pain score from 0 to 10 is used to assess pain severity and the scale 0 means no pain and the scale 10 means the worst pain imaginable. The pain score assessed for the leg with hip fracture at rest and with movement will be recorded after different pain medicine and the reduction of pain score at different time frame will be evaluated. The more reduction of pain score, the better.
- Secondary Outcome Measures
Name Time Method Adverse effects two hours Any adverse effects of different pain medication
Patient satisfaction two hours The difference of patient satisfaction between ultrasound-guided femoral nerve block and the liberal use of pain medication
Complications of ultrasound-guided femoral nerve block two hours and one week after ultrasound-guided femoral nerve block or after hospital discharge Any complications of ultrasound-guided femoral nerve block
Trial Locations
- Locations (1)
NTUH Yunlin Branch
🇨🇳Douliu, Yunlin County, Taiwan