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OpenTrials
Completed

NCT Number: NCT02330302

Single Shot Fascia Iliaca Block vs Femoral Nerve Block for Analgesia for Surgical Fixation of Hip Fractures

Hip fractures are common in our elderly population and is associated with pain before and after surgery. The current pain management for patients who have undergone surgery for hip fractures include a combination of oral painkillers, opioids (eg morphine) and regional anaesthesia techniques, which involves the injection of local anaesthetic drugs near nerves supplying the hip joint to numb the operation site. As opioids have many side effects, especially in the elderly patients, regional anaesthesia techniques can help to reduce the use of opioids and the related side effects. This may enhance their recovery and length of hospital stay

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Key information

Conditions

Hip Fracture Femoral Fractures Fractures, Bone Hip Fractures Hip Injuries Leg Injuries Wounds and Injuries

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Changi General Hospital

Singapore, 529889

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients scheduled for surgical fixation of hip fracture
  • Patients with isolated inter-trochantric fracture
  • American Society of Anesthesiologists (ASA) physical status 1 to 3
  • Patients who are able to give their own consent

Exclusion criteria

  • Patients unable to give consent or inability to communicate/ cooperate
  • Patients with regular consumption of strong opioids (morphine, oxycodone) or steroids
  • Patients with allergy to local anaesthetics or any drugs included in the study
  • Patients with contraindications to spinal anaesthesia such as coagulation disorders/ thrombocytopenia and local infection at site of injection

Treatment and study plan

Ropivacaine

Drug

Ultrasound-guided femoral nerve block with Ropivacaine 0.5% 30mls

Other names: naropin

Primary outcomes

  1. Pain scores

    Time frame: up to 24 hours

    resting and dynamic pain scores are obtained pre-intervention, 30mins post intervention (and on positioning for spinal anaesthesia), 1 hr post-operatively and at 24hrs post intervention

Secondary outcomes

  1. opioid requirement/consumption

    Time frame: for first 24 hrs (including intra operatively) following intervention

    need for additional opioids during first 24hrs following intervention record of any opioid related side effects will be kept as well

Other outcomes

  1. complications associated with intervention

    Time frame: at 24 hrs post intervention

    including hematoma, infection, prolonged neurologic deficits, occurence of falls

Sponsors and collaborators

Lead sponsor

Changi General Hospital

Other

Registry information

Official study title

A Randomized Controlled Trial Comparing Single Shot Fascia Iliaca Block With Femoral Nerve Block for Analgesia Following Surgical Fixation of Hip Fractures

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Jan 1, 2015
Registry last updated
Jan 25, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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