Can paramedics safely and effictively perform the FIC block prehospitally?
ID
Source
Brief title
Condition
- Fractures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Pain scores on arrival, and at 20, 30 and 45 minutes and during evacuation on
the trolley and during transport and on arrival on the Emergency department.
and the occurence of acute neurologic complications.
Secondary outcome
Patient satisfaction and late neurological complications.
Background summary
Patients with suspected femur or hip fractures are often difficult to evacuate.
The prehospital administered analgesics provide often insufficient painrelief
or cause serious side effects. For this reason we looked for an alternative.
The fascia iliaca compartment (FIC) block is a peripheral nerve block in which
the femoral nerve is anesthetized. Routinely this technique is applied for
perioperative pain relief in hip and knee surgery. But can also be applied for
acute pain relief for femur and hip fractues. The FIC block was successfully
performed by nurses in a hospital.
Study objective
Can paramedics safely and effictively perform the FIC block prehospitally?
Study design
10 paramedics will be theoretically and practically trained. Hereafter they
will perform the FIC block in a prehospital situation in 100 patients with
suspected femoral or hip fractures.
Intervention
0,3 ml kg-1 lidocaine 1% with adrenalin 1:200.000 will be injected below the
fascia iliaca.
Study burden and risks
Participation in this research may have great advantages for the patient. An
adequate pain relief with minimal side effects. The evacuation of the patient
will beless painful. Because of the good pain relief the risk of a delier will
be minimized.
The risks associated with participation are small.
Geert-Grooteplein Zuid 10
Nijmegen 6525 GA
NL
Geert-Grooteplein Zuid 10
Nijmegen 6525 GA
NL
Listed location countries
Age
Inclusion criteria
older than 18 years
un-complicated collum or femur fracture
NRS-score > 4
transport by regional paramedic service Brabant
Exclusion criteria
hemodynamic instability
unconsciousness
nerve damage or vascular trauma in fractured leg
not possible to palpate femoral artery
BMI > 30
osteogenesis imperecta
allergy to local anesthetics
patients with severe other injuries
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL40963.091.12 |