Clinical trial NCT04914988: Continuous Fascia Iliaca Compartment Block in Geriatric Hip Fracture
Official title: Pain Management in Geriatric Hip Fracture Patients With Ultrasound-guided Continuous Fascia Iliaca Compartment Block
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Hip Fractures
Acute Pain Due to Trauma
Lead sponsor: Mahidol University
Sponsor class: OTHER
First posted: 2021-06-07
Enrollment: 20
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Acute hip fracture in elderly

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: 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

Primary outcomes:
measure: numerical rating scale at rest
timeFrame: Change from baseline numerical rating scale at 30 minutes post-block
measure: numerical rating scale during movement
timeFrame: Change from baseline numerical rating scale at 30 minutes post-block
Secondary outcomes:
measure: Numerical rating scale during movement
timeFrame: Within 48 hours postoperative
measure: Rate of complications of continuous fascia iliaca compartment analgesia
timeFrame: Within 48 hours postoperative
measure: Duration of hospital admission
timeFrame: from hospital admission until hospital discharge, an average of 1 week
measure: Number of participants with morbidity and mortality
timeFrame: 6 weeks after hospital discharge
Other outcomes:
Locations:
city: Bangkok
country: Thailand
facility: Faculty of Medicine Siriraj Hospital, Mahidol University
Study officials:
affiliation: Mahidol University
name: Suwimon Tangwiwat, MD
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Hebbard P, Ivanusic J, Sha S. Ultrasound-guided supra-inguinal fascia iliaca block: a cadaveric evaluation of a novel approach. Anaesthesia. 2011 Apr;66(4):300-5. doi: 10.1111/j.1365-2044.2011.06628.x. Epub 2011 Feb 24.
citation: Ftouh S, Morga A, Swift C; Guideline Development Group. Management of hip fracture in adults: summary of NICE guidance. BMJ. 2011 Jun 21;342:d3304. doi: 10.1136/bmj.d3304. No abstract available.