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

Study Overview
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Brief Summary
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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

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

Conditions
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Hip Fracture

Intervention / Treatment
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* Drug: Ropivacaine
* Drug: Ropivacaine


Participation Criteria
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Eligibility Criteria
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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
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Femoral nerve block<br>Procedure: Ultrasound-guided femoral nerve block Drug: Ropivacaine 0.5% 30mls | Drug: Ropivacaine<br>* Ultrasound-guided femoral nerve block with Ropivacaine 0.5% 30mls<br>* Other names: naropin;|
| Active Comparator: Fascia Iliaca block<br>Procedure: Ultrasound-guided suprainguinal approach to fascia iliaca block Drug: Ropivacaine 0.5% 30mls | Drug: Ropivacaine<br>* Ultrasound-guided suprainguinal approach to fascia iliaca block with Ropivacaine 0.5% 30mls<br>* Other names: naropin;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain scores | 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 | up to 24 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| opioid requirement/consumption | need for additional opioids during first 24hrs following intervention record of any opioid related side effects will be kept as well | for first 24 hrs (including intra operatively) following intervention |