A Randomized Controlled Trial Comparing Single Shot Fascia Iliaca Block With Femoral Nerve Block for Analgesia Following Surgical Fixation of Hip Fractures
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Pain scores
研究概览
简要总结
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Femoral nerve block
Procedure: Ultrasound-guided femoral nerve block Drug: Ropivacaine 0.5% 30mls
干预措施: Ropivacaine (Drug)
Fascia Iliaca block
Procedure: Ultrasound-guided suprainguinal approach to fascia iliaca block Drug: Ropivacaine 0.5% 30mls
干预措施: Ropivacaine (Drug)
结局指标
主要结局
Pain scores
时间窗: 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
次要结局
- opioid requirement/consumption(for first 24 hrs (including intra operatively) following intervention)