Continuous Fascia Iliaca Compartment Block in Geriatric Hip Fracture

Pain Management in Geriatric Hip Fracture Patients With Ultrasound-guided Continuous Fascia Iliaca Compartment Block

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04914988

Enrollment

Registered

2021-06-07

Start date

2018-02-01

Completion date

2019-02-15

Last updated

2021-06-07

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

Conditions

Acute Pain Due to Trauma, Hip Fractures

Brief summary

The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB at Emergency Department or patient's ward. The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.

Detailed description

The Enhance Recovery Program of pain management in geriatric hip fracture has been set up as a part of fast track at Siriraj Hospital since September 2017. The ultrasound-guided (USG) fascia iliaca compartment block (FICB) is routinely offered to patients with a hip fracture by acute pain service (APS) anesthesiologist. The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB. The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.

Interventions

None listed

Study design

Observational model

CASE_ONLY

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

65 Years to No maximum

Healthy volunteers

Inclusion criteria

* patient age equal or more than 65 years old * patient with acute hip fracture within 7 days * patient with NRS ≥ 5

Exclusion criteria

* patient refusal * history of local anesthetic allergy * inability to communicate or cognitive dysfunction * multiple fracture involvement

Design outcomes

Primary

Measure	Time frame	Description
numerical rating scale at rest	Change from baseline numerical rating scale at 30 minutes post-block	numerical rating scale 0-10 (0=no pain, 10=worst pain)
numerical rating scale during movement	Change from baseline numerical rating scale at 30 minutes post-block	numerical rating scale 0-10 (0=no pain, 10=worst pain)

Secondary

Measure	Time frame	Description
Numerical rating scale during movement	Within 48 hours postoperative	numerical rating scale 0-10 (0=no pain, 10=worst pain)
Rate of complications of continuous fascia iliaca compartment analgesia	Within 48 hours postoperative	local anesthetic systemic toxicity, leakage, infection
Duration of hospital admission	from hospital admission until hospital discharge, an average of 1 week	number of days
Number of participants with morbidity and mortality	6 weeks after hospital discharge	myocardial disease, deep vein thrombosis, delirium, death

Countries

Thailand

Outcome results