Bubiket Study: Ultrasound Guided Fascia Iliaca Nerve Block With Bupivacaine and Adjuvant Ketamine vs. Bupivacaine Alone

About This Study

The project is meant to evaluate the effect of a combination of medications (Bupivacaine + Ketamine) used in an ultra-sound guided nerve block for patients presenting to the Emergency Department (ED) with hip and/or femur fractures. The goal is to see whether the combination of these two medications will result in greater and longer-lasting pain relief, longer-lasting motor and sensory block and overall less need for opioid rescue analgesia.

Conditions Studied

Interventions

• •Bupivacaine
• •Ketamine

Eligibility

Inclusion Criteria:

* 18 years and older
* Presenting with isolated hip or femur fracture confirmed on x-ray.

Exclusion Criteria:

* Polytrauma
* Unstable vitals signs
* Allergy to Bupivacaine or Ketamine
* Inability to give consent
* Altered mental status
* Greater than 100kg
* Known end stage renal disease or hepatic dysfunction
* Received \> 2 doses of Morphine in ER prior to regional nerve block
* Patients with failed nerve block (30 minute onset)

Study Locations (1)