Hip Fractures
Conditions
Keywords
Hip fractures
Brief summary
The purpose of this study is to determine if patients with hip fractures who undergo cryoablation of the PENG have improved pain control 30 days from surgery when compared to those who have a fascia iliaca catheter.
Interventions
will receive an ultrasound guided PENG block with 20 mL of 0.5% bupivacaine followed by cryoablation of the PENG nerves.
will receive an ultrasound guided fascia iliaca compartment catheter with initial bolus of 20 mL of 0.5% bupivacaine followed by infusion of 0.2% ropivacaine at 10 mL per hour
Sponsors
Study design
Intervention model description
This is a randomized prospective controlled trial. This will be single blinded trial. Randomization will be 1:1
Eligibility
Inclusion criteria
* Patients undergoing hip fracture repair aged 18-85.
Exclusion criteria
* Patients who have an exclusion to regional anesthesia. * Patients who are pregnant assessed via self-report or pregnancy test if they have taken one. * Non-English speakers * Patients who already had their fracture repaired
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximum pain score on Post-operative day 30 | 30 days post surgery | Maximum pain score on day 30 post surgery. Pain Scale is 0-10 with 0 meaning no pain (better outcome) and 10 meaning worst pain imaginable (worse outcome). |
| Opioid use | day 0, 1, 2, 3, 4, 5, 6, 7 post surgery | Opioid use and Functional Pain scores on POD 0, 1, 2, 3, 4, 5, 6, 7 - measured in milligrams morphine equivalents |
| functional pain scores | day 0, 1, 2, 3, 4, 5, 6, 7 post surgery post surgery | Functional Pain Score on Post Operative Day 0, 1, 2, 3, 4, 5, 6, 7 - measured with Pain Scale 0-10 with 0 meaning no pain (better outcome) and 10 meaning worst pain imaginable (worse outcome) |
| number of patients using opioids | 30 days post surgery | measured in number of patients |
| Length of Hospital Stay | 30 days post surgery | measured in number of days |
| Time to first ambulation | 30 days post surgery | measured in Days:Hours:Minutes post operation |
| Number of patients returned home by Post Operative Day 30 | 30 days post surgery | measured in number of patients |
Countries
United States