Continuous Fascia Iliaca Compartment Block in Geriatric Hip Fracture

Mahidol University20 enrolled

Overview

The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB at Emergency Department or patient's ward. The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.

The Enhance Recovery Program of pain management in geriatric hip fracture has been set up as a part of fast track at Siriraj Hospital since September 2017. The ultrasound-guided (USG) fascia iliaca compartment block (FICB) is routinely offered to patients with a hip fracture by acute pain service (APS) anesthesiologist. The patient with hip fracture who has Numerical Rating Scale (NRS) ≥ 5 at rest or on movement will be indicated for USG FICB. The aim of this prospective observation study was evaluated the efficacy and complications of cFICB in adult hip fracture preoperatively.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Hip Fractures Acute Pain Due to Trauma

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * patient age equal or more than 65 years old * patient with acute hip fracture within 7 days * patient with NRS ≥ 5 Exclusion Criteria: * patient refusal * history of local anesthetic allergy * inability to communicate or cognitive dysfunction * multiple fracture involvement

Locations (1)

Faculty of Medicine Siriraj Hospital, Mahidol University

Bangkok, Thailand

Outcomes

Primary Outcomes

numerical rating scale at rest

numerical rating scale 0-10 (0=no pain, 10=worst pain)

Time frame: Change from baseline numerical rating scale at 30 minutes post-block

numerical rating scale during movement

numerical rating scale 0-10 (0=no pain, 10=worst pain)

Time frame: Change from baseline numerical rating scale at 30 minutes post-block

Secondary Outcomes

Numerical rating scale during movement

numerical rating scale 0-10 (0=no pain, 10=worst pain)

Time frame: Within 48 hours postoperative

Rate of complications of continuous fascia iliaca compartment analgesia

local anesthetic systemic toxicity, leakage, infection

Time frame: Within 48 hours postoperative

Duration of hospital admission

number of days

Time frame: from hospital admission until hospital discharge, an average of 1 week

Number of participants with morbidity and mortality

myocardial disease, deep vein thrombosis, delirium, death

Time frame: 6 weeks after hospital discharge

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.