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The main objective is to determine if ultrasound guided suprainguinal iliac fascia block leads in better clinical outcomes such as pain management or time to home discharge.
Determining effectiveness in ultrasound guided suprainguinal iliac fascia block as a tool of comfortability of patients with less use of opioids and their side effects and its possible influence in early discharge to home has no evidence in orthopedics literature till today.
Ultrasound becomes an accessible tool at Emergency Departments and Orthopedic Surgeons are increasingly interested its clinical use.
This clinical trial wants to investigate if its use for hip nerve block leads in better clinical outcomes such as pain management or time to home discharge.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No Nerve Blocking | No Intervention | Pain management at ER Department will be as usually with iv drugs and 3 kilogram soft traction. | |
| Ultrasound Nerve blocking | Active Comparator | Pain management at ER Department will be as usually with iv drugs and ultrasound guided Suprainguinal Iliac Fascia Nerve Block. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound guided Suprainguinal Iliac Fascia Nerve Block. | Procedure | Pain management at ER Department will be as usually with iv drugs and ultrasound guided Suprainguinal Iliac Fascia Nerve Block. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Control after Ultrasound guided nerve block vs iv painkillers | Using Visual Analogue Scale (1-No pain; 10 -worst pain) measure difference between pain during arrival at Emergency Department and 30 minutes after Ultrasound guided nerve block vs iv painkillers | During Emergency Department stay (up to 12 hours) |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Hip Mobility with tolerable pain | Range of Motion Degrees | Immediately Before Discharging home assessed up to 2 weeks. |
| Functionality: Sit to Stand Test | The 30-second chair stand involves recording the number of stands a person can complete in 30 seconds |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Borja AlcobÃa-DÃaz, MD, PhD | Contact | 913303001 | 3638 | dralcobiacot@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Borja AlcobÃa-DÃaz, MD, PhD | Clinical Assistant | Principal Investigator |
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Email Contact
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| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| D059787 | Acute Pain |
| ID | Term |
|---|---|
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
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| Immediately Before Discharging home assessed up to 2 weeks. |
| Opioid Use | Quantity of Opioid drugs consumed during Hospital stay expressed in Morphine equivalent doses | Immediately Before Discharging home assessed up to 2 weeks. |
| Patient Satisfaction | Patient subjective satisfaction in a numeric scale from 1 (completely dissatisfied with pain management) to 10 (highest possible satisfaction with pain management). | Immediately Before Discharging home assessed up to 2 weeks. |
| D007869 |
| Leg Injuries |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |