Femoral Neck Fractures
Conditions
Keywords
Hemiarthroplasty, Anesthesia, Local, Pain, Postoperative
Brief summary
At St.Olavs Hospital each year about 400 patients are treated for femoral neck fractures, 250 of them receiving hemiarthroplasty. Implementation of fast-track clinical pathways reduces morbidity and enhances recovery of patients undergoing hemiarthroplasty. One of the key prerequisites for early rehabilitation is optimized pain relief. Local infiltration anesthesia with Ropivacaine is part of a multimodal pain regimen for patients receiving hemiarthroplasty at St.Olavs Hospital, although the pain reducing effect of local Ropivacaine after hemiarthroplasty has not been investigated in clinical trials. In this study it will be investigated whether a single shot with Ropivacaine reduces acute postoperative pain and opioid requirement after hemiarthroplasty. The findings of this study will have a direct impact on patient treatment.
Interventions
DRUGRopivacaine
DRUGEpinephrine
DRUGSaline
Sponsors
Norwegian University of Science and Technology
St. Olavs Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* scheduled for hemiarthroplasty at St. Olavs Hospital * competent and willing to give consent * able to be mobilized in the PACU and in the trauma ward unit.
Exclusion criteria
* contraindications for spinal anesthesia, Dexamethasone, Dolcontin or Acetaminophene * receiving general anesthesia * patients operated on with an approach different to standard direct lateral surgery * receiving osteosyntheses * receiving femoral block less than 4 hours before surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain sensation during mobilization in the post-anesthesia care unit. | 24 hours (day of surgery) | Pain is registered using the numeric rating scale (NRS) by the nurses both during rest and mobilization. The patients are asked a standard question; on a scale from 0 to 10, where 0 is no pain and 10 is the worst imaginable pain, can you define the pain you have right now? |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain during mobilization on the day after surgery | 48 hours (first postoperative day) | Pain is registered using the numeric rating scale (NRS) by the nurses both during rest and mobilization. The patients are asked a standard question; on a scale from 0 to 10, where 0 is no pain and 10 is the worst imaginable pain, can you define the pain you have right now? |
| Total consumption of opioids on the first postoperative day | 48 hrs (first postoperative day) | — |
Countries
Norway
Outcome results
None listed