None listed
Conditions
Brief summary
The purpose of the study is to compare the effectiveness of three different techniques for regional anaesthesia (nerve blocks) that are currently used by doctors in the Emergency Department at Lismore Base Hospital. The study is primarily interested in confirming the effectiveness of the pericapsular nerve group block (PENG block) which has recently entered clinical practice. It has a sound scientific basis and anecdotally it appears to be a very effective block, but there is not yet published evidence comparing it's effect to that of the other nerve blocks in use: the femoral nerve block and fascia iliaca compartment block.
Interventions
All patients with fractured neck of femur should receive regional anaesthesia in the emergency department. At present, three different techniques are in use in our department. This study will compare the analgesic efficacy of these three interventions:
1) Femoral nerve block
2) Fascia iliaca compartment block
3) Pericapsular nerve group block
There is no assignment of therapy. This is an observational study of current practice in the emergency department. It is expected that most or all nerve b
All patients with fractured neck of femur should receive regional anaesthesia in the emergency department. At present, three different techniques are in use in our department. This study will compare the analgesic efficacy of these three interventions: 1) Femoral nerve block 2) Fascia iliaca compartment block 3) Pericapsular nerve group block There is no assignment of therapy. This is an observational study of current practice in the emergency department. It is expected that most or all nerve blocks will use 75 - 150 mg of ropivacaine in 20 - 40 mL. However alternative anaesthetic drug/dose/adjuncts may be used at the discretion of the clinician and her/his usual practice. Patients will be observed for 12 hours after their nerve block or until checked in the operating theatre, whichever is sooner.
Sponsors
Lismore Base Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Inclusion Criteria 1. Adult patients (>18 years) presenting to Lismore Base Hospital Emergency Department with radiologically confirmed #NOF. The neck of femur fractures include: a. Sub-capital fracture b. Surgical neck fracture c. Intertrochanteric fracture d. Peritrochanteric fracture 2. The patient receives a nerve block for their fractured neck of femur in the Lismore Base Hospital Emergency Department 3. The nerve block may occur before or after the radiological confirmation of diagnosis
Exclusion criteria
Exclusion Criteria: Regional anaesthesia not provided in the Lismore Base Hospital Emergency Department Allergy to amide local anaesthetics Infection of the skin overlying at the overlying the site of potential nerve block The patient has already received a nerve block for this fracture prior to arrival in at Lismore Base Hospital Other reason at the discretion of clinician/s Femoral shaft fracture
Outcome results
None listed