Fascia Iliaca Block in the Emergency Department for Analgesia After Femoral Neck Fracture

Vaud University Hospital Center

Status and phase: Completed; Phase 4

Conditions: Femoral Neck Fracture

Treatments: Procedure: Fascia iliaca block; Procedure: Sham injection

Study type: Interventional

Funder types: Other

Identifiers

NCT02433548

318/14

Details and patient eligibility

About

Femoral neck fracture is very common in the elderly and can produce severe to moderate pain. As this pathology is not life-threatening, waiting time in the emergency department may be prolonged due to the high number of unforeseen cases with patients remaining in pain.

Fascia iliaca block consists of injecting local anaesthetics below the fascia iliaca, resulting in the anaesthesia of the femoral, the lateral cutaneous and the obturator nerves, with effective analgesia.

Full description

The objective of this trial is to compare the fascia iliaca block with a sham injection on patients arriving in the emergency department with a femoral neck fracture.

The fascia iliaca block will be performed with an anatomical landmark technique and a volume of 30 mLs of bupivacaine 0.5% with epinephrine 5 mcg/mL will be injected.

Enrollment: 30 patients

Sex: All

Ages: 18 to 99 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients with femoral neck fracture in the emergency department

Exclusion criteria

• presence of demencia
• body weight less than 40kg
• presence of a cancer or patients receiving chemotherapy
• allergy to local anaesthetics

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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30 participants in 2 patient groups

Fascia iliaca block

Experimental group

Description:

Fascia iliaca block (Injection of 30 mLs of bupivacaine 0.5% with epinephrine 5 mcg/mL below the fascia iliaca, Carbostesin®)

Treatment:

Procedure: Fascia iliaca block

Sham injection

Sham Comparator group

Description:

No fascia iliaca block (Sham injection = Subcutaneous injection of 5 cc of normal saline, no intervention)

Treatment:

Procedure: Sham injection