Ultrasound Guided Nerve Block for Hip Fracture Pain Management at Emergency Department

Study Overview
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Brief Summary
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The main objective is to determine if ultrasound guided suprainguinal iliac fascia block leads in better clinical outcomes such as pain management or time to home discharge.

Detailed Description
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Determining effectiveness in ultrasound guided suprainguinal iliac fascia block as a tool of comfortability of patients with less use of opioids and their side effects and its possible influence in early discharge to home has no evidence in orthopedics literature till today. Ultrasound becomes an accessible tool at Emergency Departments and Orthopedic Surgeons are increasingly interested its clinical use. This clinical trial wants to investigate if its use for hip nerve block leads in better clinical outcomes such as pain management or time to home discharge.

Official Title
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Ultrasound Guided Nerve Block for Hip Fracture Pain Management at Emergency Department

Conditions
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Hip Fractures, Pain, Acute, Ultrasound Therapy; Complications

Intervention / Treatment
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* Procedure: Ultrasound guided Suprainguinal Iliac Fascia Nerve Block.


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Low energy Hip Fracture Exclusion Criteria: Don´t meet Inclusion Criteria Present any other synchronic fracture. Drug allergy for drugs used for nerve blocking Skin infection at injection site. Contraindication due to comorbidities. Pathologic fractures. Cognitive impairment Do not give his consent.
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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: No Nerve Blocking<br>Pain management at ER Department will be as usually with iv drugs and 3 kilogram soft traction. | |
| Active Comparator: Ultrasound Nerve blocking<br>Pain management at ER Department will be as usually with iv drugs and ultrasound guided Suprainguinal Iliac Fascia Nerve Block. | Procedure: Ultrasound guided Suprainguinal Iliac Fascia Nerve Block.<br>* Pain management at ER Department will be as usually with iv drugs and ultrasound guided Suprainguinal Iliac Fascia Nerve Block.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain Control after Ultrasound guided nerve block vs iv painkillers | Using Visual Analogue Scale (1-No pain; 10 -worst pain) measure difference between pain during arrival at Emergency Department and 30 minutes after Ultrasound guided nerve block vs iv painkillers | During Emergency Department stay (up to 12 hours) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Hip Mobility with tolerable pain | Range of Motion Degrees | Immediately Before Discharging home assessed up to 2 weeks. | 
| Functionality: Sit to Stand Test | The 30-second chair stand involves recording the number of stands a person can complete in 30 seconds | Immediately Before Discharging home assessed up to 2 weeks. | 
| Opioid Use | Quantity of Opioid drugs consumed during Hospital stay expressed in Morphine equivalent doses | Immediately Before Discharging home assessed up to 2 weeks. | 
| Patient Satisfaction | Patient subjective satisfaction in a numeric scale from 1 (completely dissatisfied with pain management) to 10 (highest possible satisfaction with pain management). | Immediately Before Discharging home assessed up to 2 weeks. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hip Fractures Pain Ultrasound nerve block