Femur Fracture
Conditions
Brief summary
The goal of this prospective observational study is to compare pain control strategies in children with femur fractures. Researchers will compare ultrasound-guided fascia iliaca compartment nerve block to IV pain control alone. The main questions it aims to answer are: * Are ultrasound-guided fascia iliaca compartment nerve blocks as effective as IV pain control in controlling pain? * Do patients who receive an ultrasound-guided fascia iliaca compartment nerve block require less opioid pain medication than those that don't? Participants will be asked to provide pain scores during their Emergency Department stay. Participants parents will be asked to complete a brief survey at the time their child is leaving the Emergency Department.
Interventions
PROCEDUREUltrasound-Guided Fascia Iliaca Compartment Nerve Block
Patient's who receive this intervention will have an ultrasound-guided fascia iliaca compartment nerve block performed in the Emergency Department.
Sponsors
University of Michigan
Medical University of South Carolina
Yale University
Emory University
University of California, San Diego
University of California, San Francisco
Denver Health and Hospital Authority
Children's Hospital of The King's Daughters
Gold Coast Hospital and Health Service
Zachary Binder
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
4 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Acute femur fracture (less than 24 hours from initial injury) * Glasgow Coma Scale of 14 or greater at time of enrollment
Exclusion criteria
* Allergy or hypersensitivity to local anesthetic agents * Pregnant * Prisoner * Neurovascular injury to the affected limb * Bilateral femur fractures * Confirmed, or significant clinical suspicion for, injury to their head, neck, chest, abdomen, back or pelvis * Imaging suggestive of a head, neck, chest, abdomen, back or pelvic injury * Laboratory results suggestive of a head, neck, chest, abdomen, back or pelvic injury * A fracture not limited to the extremities (i.e. vertebral compression fracture) * A significantly displaced extremity fractures (aside from the primary femur fracture) * An open fracture (aside from the primary femur fracture) * An additional fracture to the limb of the primary femur fracture (i.e. tibia fracture in the same leg as the primary femur fracture).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 60 Minute Pain Score | 60 minutes after enrollment. | Self reported pain score using the Faces Pain Scale-Revised. Values range from 1-10 (10 means a worse outcome). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 240 Minute Pain Score | 240 minutes after enrollment. | Self reported pain score using the Faces Pain Scale-Revised. Values range from 1-10 (10 means a worse outcome). |
| Oral Morphine Equivilents | From admission to the emergency department to hospital discharge, up to 72 hours. | Opioid medications received. All opioids will be converted to oral morphine equivilents using the opioid equianalgesic calculator developed the Faculty of Pain Medicine, Australian and New Zealand College of Anesthetists (FPM ANZCA). |
| Parental Satisfaction | From admission to the emergency department to discharge from the emergency department, up to 72 hours. | Participants parents/guardians will be asked to complete a satisfaction survey. |
| Percentage of Patients Experiencing Adverse Events | From admission to the emergency department to hospital discharge, up to 72 hours. | Adverse events and complications will be recorded |
Countries
Australia, United States
Outcome results
None listed