Hip fracture Broken hip
Conditions
Interventions
Participants will receive either FNB, FICB or PENG block.
Sponsors
Frisius Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 18 years or older.proximal- or neck of femur fracture requiring surgical intervention. Able and willing to provide informed consent and reliably report symptoms to the research team.
Exclusion criteria
Exclusion criteria: Known allergy to local anaesthetics.Infection at the injection-site.Periprosthetic fracture.Skin injury, local infection or recent burns hindering the use of ultrasound for ultrasound guided nerve block placement. Hip fracture in combination with other fractures or visceral injuries warranting (operative) treatment (i.e. poly-trauma patients).Pain score of < 2 (range 0 - 10) or < 20 (range 0 - 100) in rest or when moving in bed, when presented to the ED.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Score on the patient-reported QoR-15 questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare pre-operative pain scores 0, 15 min, 30 min, and 1 hour post-block placement in patients receiving PENG, FICB and FNB in the ED.Block failure, defined as an NRS decrease of less than 2 points between block placement and 1 hour post placement.To compare the amount of rescue medication, presented in morphine equivalent dose in mg/hour IV (in the ED) or SC/PO (in the ward), calculated per hour exposure , calculated as mg/hour given IV in the ED after block placement or SC/IO in the ward during the first 12 hours after block placement or until operation.To compare complications of block placement in patients receiving PENG, FICB and FNB in the ED in the first 24 hours after block placement. | — |
Countries
Netherlands
Contacts
Public ContactJ Dolstra
Frisius Medisch Centrum
Outcome results
None listed