Health Condition 1: M95-M95- Other disorders of the musculoskeletal system and connective tissue
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients undergoing femoral fracture repair Patients with age 50 years to 80 years ASA grade I-III patients Patients able to use to Patient Controlled Analgesia(PCA) pump
Exclusion criteria
Exclusion criteria: Patient refusal to participate in study Patients with any other fracture Patients suffering from concurrent comorbidities (cardiovascular, cerebrovascular, liver or renal) ASA IV - V patients Patients with known hypersensitivity to local anaesthetics Patients with bleeding disorders or on anticoagulants Patients with sepsis Patients with cognitive impairment Patients with absolute / relative contra-indications for spinal anaesthesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome defined for the study is Quality of recovery QoR-15.Timepoint: Preoperative, postoperative 24 hours and 48 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes for the study are: Time taken to administer the block, Postoperative VAS score on movement and rest, number of patients requiring additional analgesia, total 24 hour opioid consumption, WHO disability assessment schedule, modified frailty score, prevalence of delirium, mortality, morbidity, total hospital stay and side effects of techniques, if any.Timepoint: VAS score both on rest and movement will be noted at T 0 , T 1 (after 4 hour),T 2 (8 hour),T 3 (12 hour),T 4 (24 hour),T 5 (48 hour) and T 6 (72 hour). Postoperative delirium will also be assessed on postoperative day 0,1,2 and 7 Postoperative morbidity survey will be measured postoperatively on postoperative day 1 till time of discharge. On 30 th day, patient will again be assessed for any disability, frailty, morbidity and mortality. | — |
Countries
India
Contacts
Professor,Government Medical College and Hospital