Local Anesthesia for Hip Fracture Surgery

Recruiting in Palo Alto (17 mi)

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: University of Alberta

No Placebo Group

Approved in 6 Jurisdictions

Trial Summary

What is the purpose of this trial?

The goal of this clinical trial is to compare two commonly used local/regional anesthesia techniques in adults patients undergoing hip fracture surgery. The main question\[s\] 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 local/regional 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.

Research Team

Eligibility Criteria

This trial is for adults over 18 who are having hip fracture surgery at the University of Alberta Hospital and can receive multimodal analgesia with a nerve block. It's not suitable for those who have conditions that make nerve blocks unsafe or those who don't consent to this type of anesthesia.

Inclusion Criteria

I can receive different types of pain management, including nerve block.

I am having hip fracture surgery at the University of Alberta Hospital.

I am 18 years old or older.

Exclusion Criteria

I do not consent to a nerve block procedure.

I cannot have a nerve block due to health reasons.

Treatment Details

Interventions

Regional Anesthesia (Procedure)

Trial OverviewThe study compares two local/regional anesthesia techniques in hip fracture surgeries: femoral nerve block (FNB) and suprainguinal fascia iliaca block (SiFi). Patients will be randomly assigned to one technique, focusing on pain levels and postoperative painkillers needed.

Participant Groups

2Treatment groups

Experimental Treatment

Active Control

Group I: SIFI local anesthesiaExperimental Treatment1 Intervention

Subjects randomized to the SiFi arm will have an ultrasound-guided suprainguinal fascia iliaca single shot block performed preoperatively in the anesthesia block room with 40ml of 0.2% ropivacaine local anesthetic. This will be reduced to 30 ml in patients under 60 kg.

Group II: FNB local anesthesiaActive Control1 Intervention

Subjects randomized to the FNB arm will have an ultrasound-guided femoral nerve single shot block performed preoperatively in the anesthesia block room with 20ml of 0.5% ropivacaine local anesthetic. This will be reduced to 15ml in patients under 60 kg.

Regional Anesthesia is already approved in Canada, Japan, China, Switzerland for the following indications: