Health Condition 1: M966- Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Elderly patient with closed femur fracture requiring elective surgery fulfilling following criteria:- 1. Patients willing for study. 2. Age more than 60 years. 3. ASA I II III (except uncontrolled Diabetics mellitus (DM) and Thyroid disorder). 4. No spinal vertebra deformity. 5. No Ear discharge or any infection.
Exclusion criteria
Exclusion criteria: 1. Patient refusal . 2. Age less than 60 years. 3. ASA >= IV. 4. Any contraindication to central neuraxial anaesthesia. 5. Any metabolic disorder affecting thermoregulation. 6. Uncontrolled diabetes and thyroid disorder. 7. Any recent ear infections or wax in ear. 8. Surgery duration less than 90 minutes and more than 240 minutes.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare intraoperative hypothermia incidence in between two groups.Timepoint: every 10 minutes during surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| a. Time to develop hypothermia. b. Perioperative Shivering. c. Duration of need of intraoperative active warming. d. Metabolic acidosis (baseline and at end of surgery). e. Coagulation derangements f. Drop in haematocrit value (at end of surgery compared to baseline). g. Surgical site infections (at day 1 and day 3). h. Overall patients perioperative comfort. i. Post anaesthetic care unit(PACU) stay duration in between groups. Timepoint: base line , day of surgery and after surgery | — |
Countries
India
Contacts
PGIMER CHANDIGARH