Blind Fascia Iliaca Compartment Block Compared to Ultrasound-guided Femoral Nerve Block in Patients With Hip Fractures

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-05-01

Study Completion Date

2023-04-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The goal of this study is to compare the analgesic effect of a blind fascia iliaca compartment block to an ultrasound-guided femoral nerve block in patients that present to the emergency department with hip fractures.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Lateral Cutaneous Nerve and PENG Blocks Versus Suprainguinal Fascia Iliaca Block in Post-op Analgesia of Hip Fractures

NCT05749367

Anesthesia, Conduction

UNKNOWN NA

Optimization of Analgesia for Hip Fracture Patients

NCT03609645

Hip Fractures

UNKNOWN NA

Surgical Treatment of Hip Fractures Under Peripheral Regional Anesthesia

NCT04005404

Hip Fractures

COMPLETED NA

Ultrasound-guided Femoral Nerve Blocks in Elderly Patients With Hip Fractures

NCT01701414

Femoral Neck Fractures Hip Fractures

COMPLETED PHASE2

Fascia Iliaca Block Versus Intravenous Dexmedetomidine and Ketamine for Positioning Fracture Femur

NCT05705726

Pain Analgesia

UNKNOWN NA

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Hip fractures often present to the emergency department and elderly, already fragile, patients are overrepresented. The pain associated with a hip fracture can be severe and have deleterious effects on the patient. Many studies, and a Cochrane review, have shown that a peripheral nerve block provides good pain relief and has many benefits compared to traditional pain relief, such as intravenous morphine. There is less consensus regarding which kind of nerve block, and which technique, is best to use. Many studies compared different kinds of nerve blocks to traditional methods, or more recently compared different kinds of ultrasound-guided techniques to each other.

This study proposes to compare the widely used technique of a blind fascia iliaca compartment block (FICB) to an ultrasound-guided femoral nerve block (FNB) that is currently being rolled out locally as an alternative. During the implementation period of this new clinical routine, it will be possible to compare the efficacy of FICB and FNB in reducing participant-reported pain.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Hip Fractures

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Fascia Iliaca Compartment Block (FICB)

Participants with a radiologically verified hip fracture receiving a FICB using a blind technique guided by anatomical landmarks.

Fascia Iliaca Compartment Block

Intervention Type PROCEDURE

Blind technique.

Ropivacaine

Intervention Type DRUG

Ropivacaine dosed according to local guidelines.

Femoral Nerve Block (FNB)

Participants with a radiologically verified hip fracture receiving a FNB using ultrasound guidance for direct nerve visualisation.

Femoral Nerve Block

Intervention Type PROCEDURE

Ultrasound guided.

Ropivacaine

Intervention Type DRUG

Ropivacaine dosed according to local guidelines.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Fascia Iliaca Compartment Block

Blind technique.

Intervention Type PROCEDURE

Femoral Nerve Block

Ultrasound guided.

Intervention Type PROCEDURE

Ropivacaine

Ropivacaine dosed according to local guidelines.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Peripheral nerve block Regional anesthesia Peripheral nerve block Regional anesthesia Local anesthetic Naropin

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Adult emergency department patient over 18 years of age with a radiologically verified fracture classified as hip fracture that are eligible for a peripheral nerve block according to local guidelines

Exclusion Criteria

* Multi-system trauma
* Isolated pelvic or diaphyseal femur fracture
* Patients unable to communicate regardless of reason
* Patients with contraindications to receiving a peripheral nerve block with an amide local anaesthetic according to local guidelines

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No