Emergency Physician-performed Ultrasound-guided Femoral Nerve Blocks 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

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-03

Study Completion Date

2025-12-30

Brief Summary

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In this prospective study, emergency physicians perform ultrasound-guided femoral nerve block for patients with hip fractures. We compare the effectiveness of analgesia and patient satisfaction of ultrasound-guided femoral nerve block with liberal use of the pain medicine in the emergency department. The primary outcome is the assessment of time to relief the pain with fewer adverse effects and less rescue pain medication use. The secondary outcome is patient satisfaction and adverse effects for different method of pain control.

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Detailed Description

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The aim of this study is to compare the effectiveness of ultrasound-guided femoral nerve blocks performed by emergency physicians for pain control in the emergency department with traditional pain medicine.

This study is a prospective before-and-after design. The enrollees are 20-year-old and older adult patients with hip fractures. We use numerical rating scale using a 0-10 scale to assess pain severity at the different time frame after giving pain medicine. The scale zero means "no pain" and scale 10 means "the worst pain imaginable".

The primary outcome is assessed by the reduction of pain scale which are taken on a numeric rating scale every 30 minutes before and after pain management. The secondary outcome compares complications, adverse effects and patient satisfaction for different method of pain control.

Conditions

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Hip Fractures

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Ultrasound-guided femoral nerve block

Patients with hip fractures had underwent Ultrasound-guided femoral nerve block performed by emergency physicians.

Group Type ACTIVE_COMPARATOR

ultrasound-guided femoral nerve block

Intervention Type PROCEDURE

The local analgesia is injected and infiltrated around the femoral nerve under ultrasound guidance.

The liberal use of pain medication

Patients with hip fractures had given intravenous or intramuscular opioids or NSAID at the emergency department.

Group Type SHAM_COMPARATOR

Intravenous or intramuscular pain medication

Intervention Type DRUG

Intravenous or intramuscular pain medication is given for patients with hip fracture.

Interventions

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ultrasound-guided femoral nerve block

The local analgesia is injected and infiltrated around the femoral nerve under ultrasound guidance.

Intervention Type PROCEDURE

Intravenous or intramuscular pain medication

Intravenous or intramuscular pain medication is given for patients with hip fracture.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients older than 20-year-old with hip fractures
* Stay in the emergency department for at lease two hours

Exclusion Criteria

* hemodynamic unstable
* major trauma in addition to hip fractures
* the use of any pain management before the arrival of emergency department
* chronic opioid use
* inability to understood the numerical rating scale after instruction
* allergy to local anesthetics
* coagulopathy
* injection site infection

Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No