Ultrasound-guided fascia iliaca compartment block (US-FICB) intravenous (IV) morphine older adults hip fracture pain in the emergency department (ED). Hip fracture, Ultrasound-guided fascia iliaca compartment block, older adult
Conditions
Interventions
0.5% bupivacaine 20 ml in NSS 10 ml (maximum dose 2mg/kg) according to the randomization list. Patient was in supine position. Subjects in US-FICB group inguinal area was disinfected and draped, steri
Experimental Drug,Active Comparator Drug
Ultrasound-guided fascia iliaca compartment block (US-FICB) , intravenous (IV) morphine
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
60 Years to 120 Years
Inclusion criteria
Inclusion criteria: 1. patients aged 60 and above who presented to the ED from February 2022 to November 2022 with diagnosis of isolated hip fracture including neck of femur, intertrochanter and subtrochanteric area. 2. Pain score of 5 or above from visual analog scale (VAS).
Exclusion criteria
Exclusion criteria: 1.hemodynamic instability (defined as systolic blood pressure <90 or >180 mmHg, heart rate <50 or >150 beats/min, or respiratory rate <10 or >30 breaths/min) 2.allergic to morphine and local anesthesia 3.skin infection at injection site 4.creatine clearance < 50 ml/min 5.opioid use within 4 hours 6.communication deficits 7.body weight <40 kg or >115 kg 8.need immediate surgical intervention 9.traumatic brain injury 10previous bypass surgery of affected limb
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain score 15,30,60 mins visual analog scale | — |
Secondary
| Measure | Time frame |
|---|---|
| adverse events 15,30,60 mins questionaire report | — |
Countries
Thailand
Contacts
Public Contactwasinee chanpichai
Faculty of Medicine Vajira Hospital Navamindradhiraj University
Outcome results
None listed