Ultrasound Guided Pain Control Versus Standard Treatment in Emergency Department HIP Fracture Patients

Completed · Phase 4

Conditions studied: Hip Fracture

In brief

Hip Fracture (HFx) is a painful injury that is often treated in the Emergency Department (ED) with intravenous opiates. However, this class of medications may cause deleterious side effects. An alternative analgesic approach involves regional anesthesia. The investigators attempted to determine (1) whether ultrasound guided peripheral nerve blocks (UPNBs) could be safely performed in an ED setting, (2) whether UPNBs would be more effective than standard treatment in controlling pain from HFx and (3) which of two UPNBs was superior for pain relief. A convenience sample of patients with an isolated HFx and a pain score \> 5/10 were enrolled and randomized to one of three arms: (1) Ultrasound guided 3-in-1 femoral nerve block (UFNB), (2) Ultrasound guided fascia iliaca compartment block (UFIB), or (3) IVMS. Patients indicated their pain from 0 (no pain) to 10 (extreme pain).

Key facts

Study ID

NCT01904071

Run by

Antonios Likourezos

People needed

64

Starts

2008-10-01

Expected to finish

2010-08-01

Last updated by the study team

2018-06-06

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• English speaking patients
• ≥18 years of age
• radiographic evidence of hip fracture
• Patients must be awake, alert and oriented to time, place and person.
• pain score of ≥ 5 in 10 point scale.

You may not qualify if…

• cognitive deficits
• allergic to amide-type local anesthetic or morphine
• more injuries than just hip fracture.

Where it is running

• Maimonides Medical Center — Brooklyn, New York, United States

Full record on ClinicalTrials.gov

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