Pain in patients with hip fracture MedDRA version: 17.1 Level: LLT Classification code 10017284 Term: Fractured femoral neck System Organ Class: 100000004863
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Clinical suspicion of hip fracture Successful sensory effect of femoral nerve block Age = 55 years Mentally capable of comprehending and using verbal pain score and distinguish between pain from the fractured hip and pain from other location. Arrival in the emergency room at times when one of the doctors who do the nerve blocks for this investigation are on call Possible visualization of necessary structures with ultrasound Verbal pain score (0-10) > 3 at rest or > 5 with passive leg raise 30 minutes after femoral nerve block Patients informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 3 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 37
Exclusion criteria
Exclusion criteria: Hip fracture not confirmed by x-ray Weight < 45 kg Patient has previously been included in this trial If the patient wishes to be excluded Allergy to local anesthetics or adrenocortical hormone Visible infection in the area of the point of needle injection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The objective of the trail is to investigate if supplementing an insufficient femoral nerve block with an obturator nerve block has analgesic effect in patients with hip fracture;Secondary Objective: Succesrate of possible nerve block Time use to complete the nerve block Time to analgesia;Primary end point(s): Frequency of patients with sufficient analgesia 20 minutes after a supplemental obturator nerve block compared to placebo;Timepoint(s) of evaluation of this end point: 20 minutes | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Time spend from the beginning of the ultrasound scanning to the end of injection Frequency of possible visualization of necessary structures with ultrasound i order to make the nerve block Time from the end of injection to sufficient analgesia;Timepoint(s) of evaluation of this end point: 0 minutes 20 minutes | — |
Countries
Denmark
Contacts
Aarhus University Hospital