Impact of Fascia Iliaca Block in Hip Fracture Patients

T

Texas Tech University Health Sciences Center, El Paso

Status

Completed

Conditions

Hip Fractures (i.e. Femoral Neck or Intertrochanteric Hip Fractures)

Treatments

Procedure: Fascia iliaca block arm

Study type

Interventional

Funder types

Other

Identifiers

NCT03525977
E18046

Details and patient eligibility

About

The study is a prospective randomized examining the impact of fascia iliaca block on perioperative pain control and post operative ambulation in patients with hip fractures.

Full description

Regional anesthesia is an important element of multimodal pain control regimen for surgical patients. Recently, regional anesthesia using a fascia iliaca block (FIB) to help treat pain in patients who present with hip fractures has been gaining popularity and has been incorporated as part of a multi-modal pain control protocol in many centers. It is commonly offered in addition to oral and intravenous medications to help patients deal with pain in the perioperative period. The block is done by an anesthesiologist under anesthesia using ultrasound guidance. We propose a prospective, randomized study evaluating the efficacy of the FIB as an adjunct in the pre-operative or postoperative period for pain control as measured by visual analog scale (VAS) scores and morphine equivalent dosing (MED), as well as its efficacy in promoting patient participation in physical therapy postoperatively in patients who present with hip fractures. We hypothesize that those patients who receive FIBs will report lower VAS scores as well as decreased narcotic requirement at all time points; and have improved participation in therapy when measured by ambulation distance.

Enrollment

97 patients

Sex

All

Ages

18 to 99 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Patients with femoral neck and intertrochanteric hip fractures
  • At least 18 years of age
  • Require operative management

Exclusion criteria

  • Poly-trauma patients
  • Pathologic fractures
  • Patient who required revision procedures
  • Patients with chronic opioid use
  • Patients with a clinical status that precludes verbal pain assessment such as dementia, head injuries, and unwillingness to participate.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

97 participants in 2 patient groups

Control
No Intervention group
Description:
Patients in the control arm will receive pain control via traditional oral and intravenous pain medications such as opioids and non-steroidal anti-inflammatory medication as needed.
Fascia iliaca block
Experimental group
Description:
Patients in the intervention arm will receive the regional fascia iliaca block performed by the anesthesiologists on call.
Treatment:
Procedure: Fascia iliaca block arm

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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