Does Early Administration of Ultrasound Guided Regional Anesthesia for Long Bone Fractures Effect Long Term Patient Opioid Usage

Status unconfirmed · Not applicable

Conditions studied: Bone Fracture, Opioid Use, Opioid Dependence

In brief

Administration of ultrasound guided peripheral nerve blocks is a procedural skill set that falls within the scope of Emergency Medicine practice. Extrapolating evidence from Anesthesia and Orthopedic literature (which shows decreased post-operative opioid use by surgical patients who receive regional anesthesia as part of their pre and perioperative pain management strategy) the investigators believe that early administration of regional anesthesia for long bone fractures by providers in the ED may have an as of yet unidentified positive impact on long term opioid use. If this is indeed found to be the case, early administration of regional anesthesia for extremity fractures would represent an area of focus for ED providers in the national effort by the medical community to combat opioid abuse.

Key facts

Study ID

NCT04189523

Run by

Wayne State University

People needed

54

Starts

2019-09-01

Expected to finish

2020-06-01

Last updated by the study team

2019-12-12

Who can join

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

You may qualify if…

• patients 18 years of age or older
• presentation to the emergency department with isolated fractures of the hip or proximal femur, mid or distal humerus, radius, or ulna
• poly-trauma patients with one of the previously listed fractures who do not meet exclusion criteria

You may not qualify if…

• Allergy to Bupivacaine/ropivicaine or other amide anesthetics
• evidence of compartment syndrome on exam by physician
• infection over injection site
• previously documented opioid abuse or dependence in the last year as documented in the EMR or self-reported by the patient
• current documented opioid prescription in the EMR
• patient is intubated or unable to provide consent
• poly-trauma patients with abdominal, thoracic or neurologic injury requiring operative intervention at the time of presentation to the ED

Where it is running

• Detroit Receiving Hospital — Detroit, Michigan, United States (enrolling)
• Sinai Grace Hospital — Detroit, Michigan, United States (enrolling)

Full record on ClinicalTrials.gov

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