Fascia Iliaca Compartment Block and Tramadol for Analgesia in Hip Fracture
NCT06728033 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 240
Last updated 2024-12-11
Summary
Hip fractures are a growing public health concern globally due to the aging population, with high incidence and significant mortality rates one year post-fracture. Effective pain management is critical to improving outcomes and accelerating recovery. Tramadol, a widely used intravenous analgesic, has dual opioid and non-opioid mechanisms but is associated with side effects, such as nausea, dizziness, and respiratory depression, necessitating careful monitoring in hip fracture patients.
The supra-inguinal fascia iliaca compartment block (SiFICB) offers a promising alternative, targeting key nerves to achieve effective analgesia through ultrasound-guided delivery of local anesthetics. SiFICB minimizes side effects and improves pain control by accurately blocking the femoral, lateral femoral cutaneous, and obturator nerves. While its postoperative benefits are well-documented, its efficacy in managing preoperative pain from hip fractures remains underexplored.
This study hypothesizes that ultrasound-guided SiFICB provides superior perioperative analgesia compared to intravenous tramadol. A prospective randomized controlled trial will evaluate the analgesic efficacy of SiFICB, using the numerical rating scale (NRS) to assess pain, aiming to improve the management of hip fracture-related pain and patient outcomes.
Conditions
- Hip Fractures
- Ultrasound-guided Nerve Block
- Perioperative Analgesia
Interventions
- OTHER
-
supra-inguinal fascia iliaca compartment block
Supra-inguinal fascia iliaca compartment block with 40 ml of 0.25% ropivacaine
- DRUG
-
Tramadol
intravenous tramadol at a dose of 2 mg/kg
Sponsors & Collaborators
-
West China Hospital
lead OTHER
Principal Investigators
-
Ren Liao, M.D. · West China Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-01-01
- Primary Completion
- 2027-05-31
- Completion
- 2027-12-31
Countries
- China
Study Locations
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