Evaluating the Efficacy of the Sub-psoas Fascial Plane Block for Post-operative Analgesia Following Hemiarthroplasty

Launched by UNIVERSITY COLLEGE HOSPITAL GALWAY · May 16, 2024

Keywords

ClinConnect Summary

Background:

Hip fracture surgery is one of the commonest orthopaedic operations performed in the Republic of Ireland, and is associated with significant patient morbidity, mortality and health care costs. The National Irish Hip Fracture Report recorded 1,950 hip fractures in 2013, 71% were female and the highest proportions were in the 80-89 age group. It has been estimated that the overall prevalence of hip fractures is projected to increase in line with increasing elderly population and projected demographic changes.

Early remobilization has become a key integral component of the optima...

Gender

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Eligibility criteria

• Inclusion Criteria:
• • Individuals undergoing orthopaedic surgery at the hip joint in University College Hospital, Galway.
• • Individuals over 18 years of age.
• • Individuals treated with psoas muscle sympathetic nerve blocks as part of multi-modal analgesic management.
• • Individuals with the capacity to make an informed decision regarding study participation.
• • Patients that provide written and verbal informed consent.
• • Patients whom have not received a fascia iliacus block in the emergency department prior to their surgery.
• Exclusion Criteria:
• • To be eligible, a patient must have none of these exclusion criteria
• • Individuals unable to provide informed consent.
• • Individuals \< 18 years of age.
• • Individuals with an intellectual disability (IQ \< 70), cognitive impairment, delirium or with dementia.
• • Allergy to the local anaesthesia block components.
• • Patients with absolute or relative contraindication to peripheral nerve blocks.
• • Coagulopathy (Prothrombin time/International Normalized Ratio of more than 1.50, Activated Partial Thromboplastin Time of more than 60 seconds).
• • Cases judged to be inappropriate by the chief investigator.
• • Patients whom have received a fascia iliacus block in the emergency department prior to their surgery