The effect of the use of fasica iliaca nerve blockade on patient positioning for spinal anaesthesia and the effect of continuous nerve blockade on post-operative pain and mobility outcomes in patients with hip fractures

Comparison of fascia iliac compartment block with conventional sedation to facilitate the positioning of patients with fractured neck of femur for spinal anaesthesia and the effect of nerve blockade on post-operative pain and mobility: a randomised double-blind controlled study

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN07083722

Enrollment

100

Registered

2009-10-14

Start date

2009-07-01

Completion date

Unknown

Last updated

2017-04-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Operative repair of fractured neck of femur Surgery Operative repair of fracture

Interventions

Part 1: Patients randomised to receive either fascia iliaca compartment block (FICB) with 2 mg/kg 1% lignocaine or conventional sedation with 0.2 mg/kg intravenous (iv) ketamine and 0.025 mg/kg iv mi

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. American Society of Anaesthesiologists (ASA) class I - IV 2. Patients able to give written informed consent 3. Patients requiring operative repair of fractured neck of femur 4. Patients aged 18 years and over, either sex

Exclusion criteria

Exclusion criteria: 1. History of dementia or difficulty in obtaining consent 2. History of allergy to any of the medications used in the study

Design outcomes

Primary

Measure	Time frame
Part 1: Comparison of VAS score on rest and positioning for spinal anaesthesia in patients who have received either a fascia iliaca compartment block or convention sedation. Part 2: Comparision between post-operative VAS scores in patients receiving fascia iliaca blockade with either lignocaine or levobupivacaine and the effect of bolus top-up doses of low dose levobupivacaine on VAS scores.	—

Secondary

Measure	Time frame
1. Length of time to first request of additional analgesia 2. The level of assistance required for transfer from the sitting to the standing position 3. Incidence and severity of motor blockade 4. Time taken to mobilisation with walking aid 5. Measurement of oxygen saturations without supplemental oxygen in both groups 6. Incidence of all complications associated with the analgesic techniques in both groups 7. Incidence of nausea and/or vomiting within the first 48 hours after surgery in both groups 8. Use of blood products in all groups	—

Measure

Time frame

1. Length of time to first request of additional analgesia 2. The level of assistance required for transfer from the sitting to the standing position 3. Incidence and severity of motor blockade 4. Time taken to mobilisation with walking aid 5. Measurement of oxygen saturations without supplemental oxygen in both groups 6. Incidence of all complications associated with the analgesic techniques in both groups 7. Incidence of nausea and/or vomiting within the first 48 hours after surgery in both groups 8. Use of blood products in all groups

—

Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026