Placebo group, with no regional nerve blockade administered.

Patients will have an intrafragmentary fracture block using fluoroscopy guidance after surgical fixation with 30cc 0.25% marcaine

Fascia iliaca compartment blockade administered after surgical fixation using the loss of resistance technique with 30cc 0.25% marcaine

Hip Fractures

Analgesia

Opioid Use

Pain, Postoperative

All patients will undergo cephalomedullary nailing of their extracapsular hip fractures. Both short and long nails will be used based on fracture morphology.

Cephalomedullary nailing of extracapsular hip fracture

Postop Pain Control in Hip Fracture Surgeyr: Fascia Iliaca Compartment Block Versus Fracture Block

Postoperative Pain Control in Extracapsular Hip Fracture Patients: Fascia Iliaca Compartment Block Versus Fracture Block

Null hypothesis: There is no statistically significant difference in pain visual analogue scale (VAS) between extracapsular hip fracture patients treated intraoperatively with fascia iliaca block, fracture block, or conventional analgesia in the first 24 hours postoperatively.

Null hypothesis: There is no statistically significant difference in opioid consumption (measured in IV morphine equivalents / time) between extracapsular hip fracture patients treated intraoperatively with fascia iliaca block, fracture block, or conventional analgesia in the first 24 hours postoperatively.

Montefiore Medical Center

Jacobi Medical Center

Randomization will occur at time of enrollment using unmarked envelopes. After consent, patients will be assigned a study ID that will be transcribed on the opaque envelope. The envelope will be unsealed in the operating room at time of surgery to determine the planned intervention, and it's contents will not be made available to the study personnel gathering postoperative pain data. The envelopes and randomization assignments will be kept in a locked, secured location. The only study personnel who will be unblinded are the operating surgeon and residents and physican assistants assisting in the operating room.

Patients who received a TENS unit after surgery

Historic controls- Patients who did not receive a TENS unit after surgery

Musculoskeletal Pain

Patient receiving multimodal pain management strategies which includes the use of TENS.

Multimodal Pain management including TENS unit

Patient receiving multimodal pain management strategies which does not includes the use of TENS.

Multimodal Pain management not including TENS unit

Carolinas Medical Center, Department of Orthopaedic Surgery

TENS and Perioperative Fracture Patients

Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Alleviation in Perioperative Fracture Patients

Total amount of opioid use calculated by converting all opiates to Morphine Milligram Equivalents

The PROMIS-29 assesses seven health domains: physical function, anxiety, depression, fatigue, sleep disturbance, pain interference, and ability to participate in social roles and activities. Each of the seven domains has four questions which are scored on a five-point Likert scale. The PROMIS-29 scales will be scored using a T-score metric method available at the Assessment Center website (http://assessmentcenter.net). A score of 50 points represents the population average for each scale, and 10 points represent one standard deviation. Higher scores mean more of the specific scale's construct, which may indicate a desirable or an undesirable outcome.

colles fracture/مرفین

Postop Pain Control in Hip Fracture Surgeyr: Fascia Iliaca Compartment Block Versus Fracture Block

TENS and Perioperative Fracture Patients

کاملترین پایگاه داده گیاهان دارویی با پشتیبانی علمی