Ignite Creation Date:
2024-05-06 @ 8:12 PM
Last Modification Date:
2024-10-26 @ 3:23 PM
Study NCT ID:
NCT06296758
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-06-27
First Post:
2024-02-29
Brief Title:
SiFi vs FNB Local Anesthesia for Hip Fracture Surgeries
Sponsor:
University of Alberta
Organization:
University of Alberta
Study Overview
Official Title:
Femoral Nerve Blockade FNB vs Suprainguinal Fascia Iliaca Block SiFi for Hip Fracture Surgery
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goal of this clinical trial is to compare two commonly used localregional anesthesia techniques in adults patients undergoing hip fracture surgery The main questions it aims to answer are the impact of both interventions on patient level of pain impact on postoperative analgesics administered Participants will be randomly assigned to one of two localregional anesthesia techniques either femoral nerve block FNB or suprainguinal fascia iliaca block SiFi Both techniques are the usual practice at the hospital and we are NOT aiming to experiment on new anesthesia technique in this study
Detailed Description:
Hip fracture in the elderly is an increasingly common problem worldwide Nearly all patients with a hip fracture undergo surgery Patients with hip fractures often have significant pain particularly with movement and surgical fixation is associated with significant pain
The treatment of pain with the use of a multimodal analgesic regimen is a major priority for elderly patients with hip fractures These patients are often frail and have multiple medical comorbidities Hence the use of non-steroidal anti-inflammatories drugs and systemic opioids may be contraindicated or complicated by adverse effects Regional anesthesia techniques including femoral nerve blocks FNB and fascia iliaca compartment blocks FICB are frequently utilized as part of multimodal analgesia due to their relative lack of side-effects Femoral nerve blockade and suprainguinal fascia iliaca SiFi blockade have been described for this indication Several studies have investigated the analgesic efficacy of the SiFi block after total hip arthroplasty However randomized controlled trials on the analgesic efficacy of the SiFi block for pain after hip fracture surgery are not plentiful and subject to methodological concerns
Objectives
The primary objective is to test the hypothesis that in patients undergoing hip fracture surgery suprainguinal fascia iliaca block is associated with improved pain scores and a reduction in opioid utilization when compared with femoral nerve block Secondary objectives will be to compare time to mobilization time to readiness for discharge and complications associated with both nerve block techniques
The treatment of pain with the use of a multimodal analgesic regimen is a major priority for elderly patients with hip fractures These patients are often frail and have multiple medical comorbidities Hence the use of non-steroidal anti-inflammatories drugs and systemic opioids may be contraindicated or complicated by adverse effects Regional anesthesia techniques including femoral nerve blocks FNB and fascia iliaca compartment blocks FICB are frequently utilized as part of multimodal analgesia due to their relative lack of side-effects Femoral nerve blockade and suprainguinal fascia iliaca SiFi blockade have been described for this indication Several studies have investigated the analgesic efficacy of the SiFi block after total hip arthroplasty However randomized controlled trials on the analgesic efficacy of the SiFi block for pain after hip fracture surgery are not plentiful and subject to methodological concerns
Objectives
The primary objective is to test the hypothesis that in patients undergoing hip fracture surgery suprainguinal fascia iliaca block is associated with improved pain scores and a reduction in opioid utilization when compared with femoral nerve block Secondary objectives will be to compare time to mobilization time to readiness for discharge and complications associated with both nerve block techniques
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None