Impact of Fascia Iliaca Block in Hip Fracture Patients

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)

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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