Comparing femoral nerve block and IV analgesia for hip fracture pain management

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial evaluates the effectiveness of femoral nerve blocks versus intravenous analgesia in managing pain for patients with hip fractures. It aims to determine which method provides better pain control, enhances patient satisfaction, and supports quicker recovery. The study involves administering either fentanyl or a femoral nerve block to eligible patients and monitoring their pain levels and recovery outcomes. The trial is particularly focused on elderly patients who are at high risk for complications following hip fractures.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age ≥18 years
* Radiologically confirmed proximal femur fracture (femoral neck or intertrochanteric fracture)
* Ability to provide informed consent or have a legal representative provide consent

Exclusion Criteria:

* Hemodynamic instability (SBP \<90 mmHg, HR \>120 bpm)
* Severe trauma requiring immediate surgical intervention (e.g., multiple trauma, head injury)
* Bleeding disorders or anticoagulation therapy (INR ≥2.5, platelet count \<50,000/mm³)
* Known allergy to local anesthetics (bupivacaine) or opioids (fentanyl)
* Pregnancy
* Prior administration of local anesthetic blocks or systemic opioids before arrival
* Periprosthetic fractures or previous surgery on the affected hip

Where it's running

• Marmara University Pendik Training and Research Hospital
  İstanbul, Pendik, Turkey Recruiting

Study contacts

• Study coordinator: Sinan Karacabey, Assoc. Prof.
• Email: karacabeysinan@gmail.com
• Phone: +905069138766

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Anterior Knee Nerves Block vs Femoral Nerve Block for Knee Arthroscopy

  This trial tests whether an anterior nerves of the knee (ANK) block provides similar pain relief to a femoral nerve block after knee arthroscopy in adults, aiming to reduce quadriceps weakness.

  Recruiting Van Training and Research Hospital · Van · NCT07910500

• Esmolol vs Dexmedetomidine for opioid-sparing in laparoscopic gynecologic surgery

  This study tests whether low-dose esmolol or dexmedetomidine, given during surgery, reduces opioid use and improves pain control after laparoscopic hysterectomy compared with placebo.

  Recruiting National and Kapodistrian University of Athens · Athens · NCT07846722

• Three nerve blocks for knee replacement: which one works best

  This trial tests three different nerve blocks used during knee replacement to see which provides the best pain relief for patients after surgery.

  Recruiting I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio · Milan, Italy and 1 other locations · NCT07751653

• Rectointercostal plane block to reduce pain after laparoscopic gallbladder removal

  This study tests whether giving a rectointercostal block during laparoscopic cholecystectomy can lower postoperative pain for patients without changing general anesthesia.

  Recruiting Istinye University · Istanbul · NCT07745972

• Patient-centered education after hip fracture surgery

  A structured education program after hip fracture surgery is being tested to see if it helps patients recover better than routine care alone.

  Recruiting Assiut University · Qina, Qena Governorate · NCT07739225

• PENG Block Compared with Femoral Nerve Block for Spinal Anesthesia in Hip Fracture Surgery

  This trial tests whether the ultrasound-guided Pericapsular Nerve Group (PENG) block helps when positioning for spinal anesthesia in older adults with hip fractures, compared with the standard femoral nerve block.

  Recruiting Taksim Egitim ve Arastirma Hastanesi · Istanbul, Beyoglu and 1 other locations · NCT07717463

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.