Emergency Physician-performed Ultrasound-guided Femoral Nerve Blocks in Patients With Hip Fractures.

NCT05969561 | Recruiting

• 1 other identifier: 202211021RINB
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

In this prospective study, emergency physicians perform ultrasound-guided femoral nerve block for patients with hip fractures. We compare the effectiveness of analgesia and patient satisfaction of ultrasound-guided femoral nerve block with liberal use of the pain medicine in the emergency department. The primary outcome is the assessment of time to relief the pain with fewer adverse effects and less rescue pain medication use. The secondary outcome is patient satisfaction and adverse effects for different method of pain control.

Conditions

Hip Fractures

Keywords

Ultrasound-guided femoral nerve block

Outcome Measures

Primary Outcomes (1)

• a short time of pain relief

  The numerical pain score from 0 to 10 is used to assess pain severity and the scale 0 means no pain and the scale 10 means the worst pain imaginable. The pain score assessed for the leg with hip fracture at rest and with movement will be recorded after different pain medicine and the reduction of pain score at different time frame will be evaluated. The more reduction of pain score, the better.

  2 hours

Secondary Outcomes (3)

• Adverse effects

  two hours

• Patient satisfaction

  two hours

• Complications of ultrasound-guided femoral nerve block

  two hours and one week after ultrasound-guided femoral nerve block or after hospital discharge

Study Arms (2)

Ultrasound-guided femoral nerve block

ACTIVE COMPARATOR

Patients with hip fractures had underwent Ultrasound-guided femoral nerve block performed by emergency physicians.

Procedure: ultrasound-guided femoral nerve block

The liberal use of pain medication

SHAM COMPARATOR

Patients with hip fractures had given intravenous or intramuscular opioids or NSAID at the emergency department.

Drug: Intravenous or intramuscular pain medication

Interventions

ultrasound-guided femoral nerve block PROCEDURE

The local analgesia is injected and infiltrated around the femoral nerve under ultrasound guidance.

Ultrasound-guided femoral nerve block

Intravenous or intramuscular pain medication DRUG

Intravenous or intramuscular pain medication is given for patients with hip fracture.

The liberal use of pain medication

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients older than 20-year-old with hip fractures
• Stay in the emergency department for at lease two hours

You may not qualify if:

• hemodynamic unstable
• major trauma in addition to hip fractures
• the use of any pain management before the arrival of emergency department
• chronic opioid use
• inability to understood the numerical rating scale after instruction
• allergy to local anesthetics
• coagulopathy
• injection site infection

Sponsors & Collaborators

• National Taiwan University Hospital: lead

Study Sites (1)

NTUH Yunlin Branch

Douliu, Yunlin County, 640, Taiwan

RECRUITING

MeSH Terms

Conditions

Hip Fractures

Condition Hierarchy (Ancestors)

Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Central Study Contacts

YILIN LEE

CONTACT

+886972655633; leeatntuh@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 23, 2023
• First Posted: August 1, 2023
• Study Start: July 3, 2023
• Primary Completion: March 5, 2025
• Study Completion: December 30, 2025
• Last Updated: August 5, 2025

Record last verified: 2025-06

Locations

TW (1)