Ultrasound-Guided Femoral Nerve Block
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- a short time of pain relief
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients older than 20-year-old with hip fractures
- •Stay in the emergency department for at lease two hours
排除标准
- •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
研究组 & 干预措施
Ultrasound-guided femoral nerve block
Patients with hip fractures had underwent Ultrasound-guided femoral nerve block performed by emergency physicians.
干预措施: ultrasound-guided femoral nerve block (Procedure)
The liberal use of pain medication
Patients with hip fractures had given intravenous or intramuscular opioids or NSAID at the emergency department.
干预措施: Intravenous or intramuscular pain medication (Drug)
结局指标
主要结局
a short time of pain relief
时间窗: 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.
次要结局
- Adverse effects(two hours)
- Patient satisfaction(two hours)
- Complications of ultrasound-guided femoral nerve block(two hours and one week after ultrasound-guided femoral nerve block or after hospital discharge)