Needle Nerve Contact in Ultrasound Guided Femoral Block

Hospital Clinic of Barcelona

Status: Unknown

Conditions: Peripheral Nerve Injury

Treatments: Procedure: Needle placement

Study type: Interventional

Funder types: Other

Identifiers

NCT01554722

R6345

Details and patient eligibility

About

Ultrasound-guided femoral nerve block is a common regional anesthesia technique. The optimal method of needle guidance (in-plane versus out-of-plane) with regards to the block efficacy and avoidance of needle-nerve contact has not been established. In this study the investigators tests the hypothesis that the incidence of needle-nerve contact is higher with the needle insertion in an out-of-plane than with the in-plane approach.

Full description

Fourty-four patients with hip fracture (American Society of Anesthesiologists physical status 1-3) are being randomized to receive the femoral block with an out-of-plane (needle inserted at a 45°-60° angle 1 cm caudal to the midpoint of the ultrasound probe just above the femoral nerve) or an in-plane technique (needle inserted 0.5 cm from the side of the probe lateral to the femoral nerve). The data collected includes the depth of needle insertion at the endpoint before injection, response to nerve stimulation, distribution of the injected volume in relation to the nerve (anterior vs posterior, the latter indicating impalement), block efficacy at 20 minutes and 24 hours, and any signs of nerve injury).

Enrollment: 44 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• ASA physical status 1-3 patients
• Diagnosis of trochanteric or cervical hip fracture
• Hip replacement under spinal anesthesia

Exclusion criteria

• Patients under the age of 65 years or over the age of 90 years

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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44 participants in 2 patient groups

in plane needle placement

Experimental group

Treatment:

Procedure: Needle placement

out of plane needle placement

Experimental group

Treatment:

Procedure: Needle placement