TCTR20230905007招募中3 期
A comparison of the effectiveness of pericapsular nerve group (PENG) block versus intravenous morphine in relieving pain in older patients with hip fractures in the emergency department: a randomized controlled trial.
avamindradhiraj University Research Fund0 个研究点目标入组 46 人开始时间: 2023年9月5日最近更新:
适应症
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 发起方
- 入组人数
- 46
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 年龄范围
- 65 Years 至 99 Years（—）
- 性别
- All
入选标准
- •1.Patients aged 65 years and older who come to the emergency room with muscle and hip pain, and the doctor diagnosed a hip fracture within 7 days during 1 Sep. 2023 - 30 Aug. 2024
- •(2) The patient rated the pain as moderate to severe, that is, the level of pain greater than or equal to 5 to 10 on the verbal numerical rating scale (VNRS).
排除标准
- •1. The patient does not consent to receive PENG block anesthesia or intravenous morphine (lack of Informed consent to participate in this study).
- •2. The patient has unstable vital signs (hemodynamic instability), systolic blood pressure lower than 90 mmHg, heart rate less than 50 beats per minute and respiratory rate less than 10 breaths per minute.
- •3. Patients have conditions or other co-morbidities that have serious causes and require immediate intervention, as follows: acute myocardial infarction (STEMI), ischemic or sudden ischemic stroke or aortic dissection.
- •4. Patients with injuries to more than 2 systems.
- •5. Patients who have an underlying disease which is muscle weakness.
- •6.Patients with chronic pain such as pain from cancer
- •7. Patients who need emergency surgery (immediate surgical intervention)
- •8. Patients who are unable to assess pain as follows: depression (altered mental status), communication problems (communication barrier), impaired memory.
- •9. Severe dementia based on 6-item cognitive screening score greater than 12
- •10. Patients with a history of allergy to anesthetics or drugs in the morphine group (bupivacaine or morphine allergy).
- •11. Patients taking group drugs anti-coagulant 48 hours before coming to the hospital
- •or have an INR value > 1.5
- •12. A patient with a skin infection around the broken hip joint.
- •13. Patients with a history of using opioid analgesics within 4 hours, including tramadol, fentanyl, morphine, codeine, pethidine, methadone, or unknown drugs.
- •14. Patients with a history of drug abuse within 1 month before coming to the hospital
- •15.Patients weighing less than 40 kg or more than 100 kg
研究者
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