hip fracture
Conditions
Interventions
early intervention group:early intervention of fascia iliaca compartment block (FICB) as pain management for elderly patients with hip fracture
non-early intervention group:non-early intervention of fascia iliaca compartment block (FICB) as pain management for elderly patients with hip fracture
Sponsors
Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age >=65 years old; 2. Diagnosed as hip fracture, such as a unilateral femoral neck fracture or an intertrochanteric (intro-trochanteric) fracture via imaging (X-ray, CT or MRI); 3. Planned hip surgery under general anaesthesia with endotracheal intubation due to a hip fracture (total hip replacement, partial hip replacement, intertrochanteric intramedullary nailing, closed reduction and internal fixation, etc.); 4. ASA I–III; 5. Informed consent from the patient or their legal representative; 6. Able to communicate fluently in Chinese.
Exclusion criteria
Exclusion criteria: 1. Allergy to ropivacaine or bupivacaine/liposomes; 2. Contraindications to nerve block (nerve damage, coagulation disorders, severe infection or exudate at the puncture site, etc.); 3. A history of psychiatric or neurological disorders such as depression, severe central nervous system depression, Parkinson’s disease, basal ganglia disorders, schizophrenia, epilepsy, Alzheimer’s disease or myasthenia gravis; 4. A history of severe abnormalities in cardiac, pulmonary, hepatic or renal function, such as heart failure or the need for dialysis; 5. Unable to communicate before the surgery (due to coma or dementia); 6. Preoperative pain score (VAS score) < 4 or old hip fracture; 7. Participants currently enrolled in other clinical trials; 8. Researchers consider that participants are unsuitable for this trial if they are unable to assess treatment efficacy or are unlikely to complete the intended course of treatment and follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| QoR-15 score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Sleep duration and quality score;NRS score;Length of hospital stay and overall satisfaction score for pain management;Incidence of delirium;Total use of opioids and other analgesics during the perioperative period;Time of extubation during the recovery phase; incidence of agitation during the recovery phase; | — |
Countries
China
Contacts
Public ContactZhao Yanhua
Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine
Outcome results
None listed