Emergency Physician-performed Ultrasound-guided Femoral Nerve Blocks in Patients With Hip Fractures.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: ultrasound-guided femoral nerve block, Intravenous or intramuscular pain medication.
- Who it may be relevant to
- Registry conditions: Hip Fractures. Basic parameters: from 20 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Taiwan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Ultrasound-Guided Femoral Nerve Block
Overview
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.
Detailed description
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.
Interventions
- Procedure ultrasound-guided femoral nerve block
The local analgesia is injected and infiltrated around the femoral nerve under ultrasound guidance. - Drug Intravenous or intramuscular pain medication
Intravenous or intramuscular pain medication is given for patients with hip fracture.
Primary outcome measures
- a short time of pain relief [Time frame: 2 hours]
Secondary outcome measures (3)
- Adverse effects [Time frame: two hours]
- Patient satisfaction [Time frame: two hours]
- Complications of ultrasound-guided femoral nerve block [Time frame: two hours and one week after ultrasound-guided femoral nerve block or after hospital discharge]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Non-randomized
- Model
- Sequential
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Taiwan · 1 center
- NTUH Yunlin Branch — Douliu
Identifiers
NCT: NCT05969561 · 202211021RINB