Pain, Postoperative
Conditions
Keywords
Femur fracture, morphine sparing, preemptive analgesia, Post-operative pain and post- operative opioid use
Brief summary
This study evaluates the effect of a femoral nerve block on opioid requirements following femoral fracture fixation with flexible nails in the paediatric population. This is a double blind, prospective randomized clinical trial.
Interventions
No details specified
Sponsors
University of British Columbia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
5 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Femoral shaft fracture requiring intra-medullary nailing * Surgery performed within 24 hours of injury * Ability of child or family to use patient-controlled analgesia (PCA) * No allergy or sensitivity to bupivacaine * Informed consent and assent
Exclusion criteria
* Open femur fractures * Closed fractures needing open reduction * Fractures associated with neurovascular complications * Fractures associated with compartment syndrome * Repeat femoral surgeries * Patients who received a femoral nerve block more than 1 hour prior to surgery * Complex associated injuries or pre-existing condition that will delay time to ambulation * Children who are allergic and/or sensitive to bupivacaine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative morphine requirement; the average 8 hour morphine requirement (mcg/kg/hr) will be recorded | until patient discharge |
Secondary
| Measure | Time frame |
|---|---|
| Pain rating | immediately post-op |
| Sedation/pruritis/nausea/vomiting/urinary retention/respiratory rate | every 8 hours |
| Time to discharge | from end of surgery |
| Time (hours) from end of surgery to sitting on bed with legs hanging over the side | — |
Countries
Canada
Outcome results
None listed