Fractured neck of femur Injury, Occupational Diseases, Poisoning Fracture of femur
Conditions
Interventions
Patients will be randomised to four groups - all blocks will be performed under ultrasound guidance:
Group I: Fascia iliaca compartment block at a dose of 1 mg/kg levobupivacaine
Group II: Fascia ilia
Sponsors
Belfast Health and Social Care Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. American Society of Anaesthesiologists (ASA) class I - III 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 allergy to any of the medications used in the study 2. Patients with a history of dementia or difficulty in providing informed consent 3. Patients with a history of significant neurological impairment of one or both of the lower limbs 4. Patients with a pathological fracture of the neck of femur 5. Patients suffering from severe hypotension such as cardiogenic or hypovolaemic shock or with a serious cardiac arrhythmia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of post-operative pain scores after one of two nerve blocks using one of two doses of the local anaesthetic following operative repair of fractured neck of femur. A post-operative assessment will be performed in the recovery room and at 4, 24 and 48 hours post-procedure. Pain scores will also be recorded by nursing staff whilst assessing routine observations. | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessed at 4, 24 and 48 hours post-operatively: 1. Incidence of motor blockade 2. Post-operative analgesia requirements and time to first request of post-operative analgesia 3. Ability to mobilise on the first post-operative day 4. Incidence of any adverse events 5. One and three month mortality | — |
Countries
United Kingdom
Outcome results
None listed