Hip Fractures (i.e. Femoral Neck or Intertrochanteric Hip Fractures)
Conditions
Brief summary
The study is a prospective randomized examining the impact of fascia iliaca block on perioperative pain control and post operative ambulation in patients with hip fractures.
Detailed description
Regional anesthesia is an important element of multimodal pain control regimen for surgical patients. Recently, regional anesthesia using a fascia iliaca block (FIB) to help treat pain in patients who present with hip fractures has been gaining popularity and has been incorporated as part of a multi-modal pain control protocol in many centers. It is commonly offered in addition to oral and intravenous medications to help patients deal with pain in the perioperative period. The block is done by an anesthesiologist under anesthesia using ultrasound guidance. We propose a prospective, randomized study evaluating the efficacy of the FIB as an adjunct in the pre-operative or postoperative period for pain control as measured by visual analog scale (VAS) scores and morphine equivalent dosing (MED), as well as its efficacy in promoting patient participation in physical therapy postoperatively in patients who present with hip fractures. We hypothesize that those patients who receive FIBs will report lower VAS scores as well as decreased narcotic requirement at all time points; and have improved participation in therapy when measured by ambulation distance.
Interventions
PROCEDUREFascia iliaca block arm
The fascia iliaca block will be performed by the anesthesiologist on call
Sponsors
Texas Tech University Health Sciences Center, El Paso
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients with femoral neck and intertrochanteric hip fractures * At least 18 years of age * Require operative management
Exclusion criteria
* Poly-trauma patients * Pathologic fractures * Patient who required revision procedures * Patients with chronic opioid use * Patients with a clinical status that precludes verbal pain assessment such as dementia, head injuries, and unwillingness to participate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain level | Pre operatively | Visual analog scale scores (from 0-10 with 0 being no pain and 10 being the worst pain) |
| Pain medication requirement | Pre operatively | Morphine equivalent dosing |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ambulation distance | Two days after surgery | Ambulation distance with physical therapy post op |
Countries
United States
Outcome results
None listed