Hip Fractures, Pain, Acute, Ultrasound Therapy; Complications
Conditions
Keywords
Hip Fractures Pain Ultrasound nerve block
Brief summary
The main objective is to determine if ultrasound guided suprainguinal iliac fascia block leads in better clinical outcomes such as pain management or time to home discharge.
Detailed description
Determining effectiveness in ultrasound guided suprainguinal iliac fascia block as a tool of comfortability of patients with less use of opioids and their side effects and its possible influence in early discharge to home has no evidence in orthopedics literature till today. Ultrasound becomes an accessible tool at Emergency Departments and Orthopedic Surgeons are increasingly interested its clinical use. This clinical trial wants to investigate if its use for hip nerve block leads in better clinical outcomes such as pain management or time to home discharge.
Interventions
PROCEDUREUltrasound guided Suprainguinal Iliac Fascia Nerve Block.
Pain management at ER Department will be as usually with iv drugs and ultrasound guided Suprainguinal Iliac Fascia Nerve Block.
Sponsors
Hospital San Carlos, Madrid
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Low energy Hip Fracture
Exclusion criteria
* Don´t meet Inclusion Criteria * Present any other synchronic fracture. * Drug allergy for drugs used for nerve blocking * Skin infection at injection site. * Contraindication due to comorbidities. * Pathologic fractures. * Cognitive impairment * Do not give his consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Control after Ultrasound guided nerve block vs iv painkillers | During Emergency Department stay (up to 12 hours) | Using Visual Analogue Scale (1-No pain; 10 -worst pain) measure difference between pain during arrival at Emergency Department and 30 minutes after Ultrasound guided nerve block vs iv painkillers |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient Hip Mobility with tolerable pain | Immediately Before Discharging home assessed up to 2 weeks. | Range of Motion Degrees |
| Functionality: Sit to Stand Test | Immediately Before Discharging home assessed up to 2 weeks. | The 30-second chair stand involves recording the number of stands a person can complete in 30 seconds |
| Opioid Use | Immediately Before Discharging home assessed up to 2 weeks. | Quantity of Opioid drugs consumed during Hospital stay expressed in Morphine equivalent doses |
| Patient Satisfaction | Immediately Before Discharging home assessed up to 2 weeks. | Patient subjective satisfaction in a numeric scale from 1 (completely dissatisfied with pain management) to 10 (highest possible satisfaction with pain management). |
Contacts
Primary ContactBorja Alcobía-Díaz, MD, PhD
Outcome results
None listed