Comparing two pain management techniques for hip fracture surgery
Circum-Psoas Blocks Versus Combined Lumbar and Sacral Plexus Blocks for Sensory Level and Postoperative Analgesia Obtained in Hip Fracture Surgery
NA · Zagazig University · NCT05660603
This study is testing which pain management technique works better for older patients having hip fracture surgery to help them recover faster and use fewer opioids.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 63 (estimated) |
| Ages | 60 Years and up |
| Sex | All |
| Sponsor | Zagazig University (other gov) |
| Locations | 1 site (Zagazig, Alsharqia) |
| Trial ID | NCT05660603 on ClinicalTrials.gov |
What this trial studies
This study compares the effectiveness of circum-psoas blocks versus combined lumbar and sacral plexus blocks for managing postoperative pain in patients undergoing hip fracture surgery. It aims to determine which technique provides better pain relief, thereby facilitating early mobilization and recovery. The study will involve patients aged 65 and over who are scheduled for hip fracture surgery within 24-72 hours. By utilizing ultrasound guidance for nerve blocks, the study seeks to minimize opioid use and enhance recovery outcomes.
Who should consider this trial
Good fit: Ideal candidates for this study are elderly patients aged 65 and over with a first unilateral hip fracture scheduled for surgery.
Not a fit: Patients with multiple fractures, neurological deficits, or contraindications for nerve blocks may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved pain management strategies for elderly patients undergoing hip fracture surgery, enhancing their recovery and quality of life.
How similar studies have performed: Previous studies have shown promise in using regional anesthesia techniques for pain management in hip fracture surgeries, indicating that this approach is supported by existing evidence.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patient acceptance. * BMI ≤ 30 kg/m2 * ASA I-III. * First unilateral surgery for hip fracture including femoral neck, intertrochanteric or subtrochanteric fracture. * Patient with planned hip fracture surgery within 24-72 hours under general anesthesia. Exclusion Criteria: * Multiple trauma, multiple fractures, or pathological fractures * Prosthetic fracture or usage of bone-cement fixation in the surgery. * Scheduled for bilateral hip fracture surgery. * Pre-existing neurological deficit in the lower extremity * Contraindication for peripheral nerve block (infection at the site of needle insertion, coagulopathy, allergy to local anesthetics used) * History of chronic pain and taking analgesics * History of cognitive dysfunction or mental illness
Where this trial is running
Zagazig, Alsharqia
- Shereen E Abd Ellatif — Zagazig, Alsharqia, Egypt (RECRUITING)
Study contacts
- Study coordinator: Shereen E Abd Ellatif, MD
- Email: shosh.again@gmail.com
- Phone: 01007948840
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Hip Fractures, circum-psoas blocks, lumbar plexus block, sacral plexus block, hip fracture surgery