Status:
TERMINATED
MORphine Use in the Fascia Iliaca Compartment Block With UltraSound
Lead Sponsor:
Zuyderland Medisch Centrum
Collaborating Sponsors:
Fresenius Kabi
Conditions:
Humans
Anesthetics, Local
Eligibility:
All Genders
18+ years
Phase:
PHASE4
Brief Summary
Appropriate management of analgesia for proximal femoral fractures is a common problem in the emergency department (ED). Side effects from morphine usage such as nausea, vomiting, respiratory depressi...
Detailed Description
Proximal femoral fractures are common in the ED. A major challenge in such subjects is pain management. Suboptimal pain control is associated with stress, a prolonged hospital stay and delirium. Pain ...
Eligibility Criteria
Inclusion
- Patient diagnosed with a proximal femoral fracture (femoral neck, trochanteric and sub trochanteric femoral fracture) upon arrival at the ED.
Exclusion
- No informed consent patient
- Skin infection at injection site(s)
- Morphine allergy
- Levobupivacaïne allergy
- Operation within an hour after admission
- Inability to understand and quantify pain on a NRS
- History of dementia
- Neurological deficit of fractured leg upon arrival at the ED
- Trauma with multiple fractures (more than 1)
- Risk of compartment syndrome of ipsilateral lower leg
- Proximal femoral fracture with other definitive treatment than operation
- Transfer to another hospital
- Actual morphine use
- Distracting pain in other location than hip
- Pregnancy
- No physician/nurse available for procedure.
- BMI \> 40
- Saturation \< 90%
- Previously unreported hypotension (systolic blood pressure \< 100 mmHg)
- ASA IV or higher
Key Trial Info
Start Date :
January 28 2019
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
February 18 2020
Estimated Enrollment :
55 Patients enrolled
Trial Details
Trial ID
NCT03846102
Start Date
January 28 2019
End Date
February 18 2020
Last Update
May 6 2021
Active Locations (1)
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1
Zuyderland Medisch Centrum
Heerlen, Zuid Limburg, Netherlands, 6419PC