Delirium in Elderly Patients With Trauma of the Hip

• Status: Recruiting
• Trial end date: 2023-05-01
• Target enrollment: 0
• Participant gender: All

Summary

A broken hip occurs frequently in elderly patients and is often very painful. Side effects of inadequately treated pain as well as the traditional drugs (administered through intravenous catheter) used to treat pain are, among others, a confusional state, called delirium. When pain medication is administered locally, only around the hip joint, pain might be treated more effectively and these side effects could be prevented. This is called a nerve block.

The current study evaluates the use of a continuous nerve block throughout the complete hospital admission with a catheter around the hip joint versus the use of traditionally used pain medication administered though an intravenous catheter in elderly patients with a broken hip. Half of all patients will receive the nerve block while in the emergency department and the other half will receive pain medication through the intravenous access.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
• Collaborator: ZonMw: The Netherlands Organisation for Health Research and Development
• Treatments: Acetaminophen; Analgesics; Analgesics, Opioid; Anesthetics; Anesthetics, Local; Anti-Inflammatory Agents, Non-Steroidal; Bupivacaine; Diclofenac; Dipyrone; Fentanyl; Ibuprofen; Levobupivacaine; Morphine; Naproxen; Ropivacaine

Criteria

Inclusion Criteria:

• adult patients aged ≥ 55 years with

• a radiographically confirmed hip fracture

Exclusion Criteria:

• multiple injuries (polytrauma patients)

• previous adverse reaction or known allergy to local anaesthetics or opioids or paracetamol

• skin infection in proximity of injection site

• delirious state at presentation in the ED