Study Comparing Ultrasound-guided FICNB Block to Systemic Analgesia in Treatment of Pediatric Femur Fracture

Completed

Conditions studied: Femur Fracture

In brief

The goal of this prospective observational study is to compare pain control strategies in children with femur fractures. Researchers will compare ultrasound-guided fascia iliaca compartment nerve block to IV pain control alone. The main questions it aims to answer are: * Are ultrasound-guided fascia iliaca compartment nerve blocks as effective as IV pain control in controlling pain? * Do patients who receive an ultrasound-guided fascia iliaca compartment nerve block require less opioid pain medication than those that don't? Participants will be asked to provide pain scores during their Emergency Department stay. Participants parents will be asked to complete a brief survey at the time their child is leaving the Emergency Department.

Key facts

Study ID

NCT05947292

Run by

Zachary Binder

People needed

114

Starts

2022-06-01

Expected to finish

2024-06-30

Last updated by the study team

2024-07-29

Who can join

Age: 4 and older, up to 17. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Acute femur fracture (less than 24 hours from initial injury)
• Glasgow Coma Scale of 14 or greater at time of enrollment

You may not qualify if…

• Allergy or hypersensitivity to local anesthetic agents
• Pregnant
• Prisoner
• Neurovascular injury to the affected limb
• Bilateral femur fractures
• Confirmed, or significant clinical suspicion for, injury to their head, neck, chest, abdomen, back or pelvis
• Imaging suggestive of a head, neck, chest, abdomen, back or pelvic injury
• Laboratory results suggestive of a head, neck, chest, abdomen, back or pelvic injury
• A fracture not limited to the extremities (i.e. vertebral compression fracture)
• A significantly displaced extremity fractures (aside from the primary femur fracture)
• An open fracture (aside from the primary femur fracture)
• An additional fracture to the limb of the primary femur fracture (i.e. tibia fracture in the same leg as the primary femur fracture).

Where it is running

• University of California, San Diego — San Diego, California, United States
• University of California, San Fransisco — San Francisco, California, United States
• Denver Health and Hospital Authority — Denver, Colorado, United States
• Yale University — New Haven, Connecticut, United States
• Emory University — Atlanta, Georgia, United States
• UMass — Worcester, Massachusetts, United States
• University of Michigan — Ann Arbor, Michigan, United States
• Medical University of South Carolina — Charleston, South Carolina, United States
• Children's Hospital of the King's Daughters — Norfolk, Virginia, United States
• Gold Coast Hospital and Health Service — Southport, Queensland, Australia

Full record on ClinicalTrials.gov

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