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

• Status: Completed
• Trial end date: 2010-08-01
• Target enrollment: 0
• Participant gender: All

Summary

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).

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

Details

• Lead Sponsor: Antonios Likourezos
• Collaborator: Emergency Medicine Foundation
• Treatments: Morphine

Criteria

Inclusion Criteria:

1. English speaking patients

2. ≥18 years of age

3. radiographic evidence of hip fracture

4. Patients must be awake, alert and oriented to time, place and person.

5. pain score of ≥ 5 in 10 point scale.

Exclusion Criteria:

1. cognitive deficits

2. allergic to amide-type local anesthetic or morphine

3. more injuries than just hip fracture.