Cristin-prosjekt-ID: 2063728
Sist endret: 18. juni 2020 07:52

Cristin-prosjekt-ID: 2063728
Sist endret: 18. juni 2020 07:52
Prosjekt

Nurse-led single shot ultrasound guided femoral nerve block in patients with hip fracture –

prosjektleder

Espen Eivind Lindholm
ved Kirurgisk klinikk ved Sykehuset i Vestfold HF

prosjekteier / koordinerende forskningsansvarlig enhet

  • Sykehuset i Vestfold HF

Klassifisering

Vitenskapsdisipliner

Helsetjeneste- og helseadministrasjonsforskning

Kategorier

Prosjektkategori

  • Doktorgradsprosjekt

Kontaktinformasjon

Telefon
45844472
Sted
Elin Saga

Tidsramme

Aktivt
Start: 19. september 2019 Slutt: 1. mars 2021

Beskrivelse Beskrivelse

Tittel

Nurse-led single shot ultrasound guided femoral nerve block in patients with hip fracture –

Vitenskapelig sammendrag

The aim of this study is to investigate the effects of task- shifting from anesthesiologists, to special trained nurses performing ultrasound guided femoral nerve block in patients with hip fracture in the Emergency Department (ED) at Vestfold Hospital Trust (VHT).  A sample of specially trained nurses (n= 5) will perform ultrasound guided femoral nerve block in hip fracture patients admitted in the ED 08.00 am to 10.00 pm.at weekdays. Todays practice at VHT; an in-hospital Fast-Track- hip fracture course. Pain relief of the hip fracture patient in ED most often consist of paracetamol and opiates if not an anesthesiologist is available to perform a ultrasound guided femoral nerve block. Unfortunately, concurrency conflicts and other organizational circumstances leads to some patients have time delayed block or no block at all. This practice gives rise to the risk of expanded time before adequately pain relief and a higher incidence of opioid side effects (i.e. respiratory depression, constipation, urinary retention, nausea, vomiting).

Our main hypothesis is that: A single shot FNB performed by nurses in the Emergency Department compared to todays practice will result in lower cumulative Pain (measured in NRS) score first 120 minutes after admission to ED than current practice.

 

Metode

The study has a randomized controlled trial design (RCT). Patients are randomized (1:1) into two groups:

  1. Trained nurses in Emergency Department (ED)D provide ultrasound guided single-shot femoral nerve block shortly after (at arrival ED) the patient is diagnosed with a hip fracture. Then the patient follows the FAST-TRACK-HIP FRACTURE course.

  2. Nurses do not provide ultrasound guided single-shot femoral nerve block and the patient follows the FAST-TRACK-HIP FRACTURE course.

Primary endpoint:

Cumulative dynamic pain score NRS during passive movement (30 degree flexion in the fractured hip) in patients with hip fracture during stay in the ED at 120 minutes after admission, measured by five time points.

Utstyr

 

 

prosjektdeltakere

prosjektleder

Espen Eivind Lindholm

  • Tilknyttet:
    Prosjektleder
    ved Kirurgisk klinikk ved Sykehuset i Vestfold HF

Elin Saga

  • Tilknyttet:
    Prosjektdeltaker
    ved Sykehuset i Vestfold HF

Kirsti-Iren Skovdahl

  • Tilknyttet:
    Prosjektdeltaker
    ved Universitetet i Sørøst-Norge
Aktiv cristin-person

Pia Cecilie Bing-Jonsson

  • Tilknyttet:
    Prosjektdeltaker
    ved Universitetet i Sørøst-Norge
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