postoperative recovery in elderly patients with femoral fracture
Conditions
Interventions
group F:continuous modified fascia iliaca compartment block combined with spinal anesthesia
group C:spinal anesthesia
Sponsors
The First Affiliated Hospital of Nanchang University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Aged 60-85 years; Elective surgery for unilateral femoral fracture under spinal anesthesia; American Society of Anesthesiologists (ASA) physical status I/II/III; Be willing to participate in this study and sign written informed consent.
Exclusion criteria
Exclusion criteria: (1) Combined with fractures in other sites;(2)Pulmonary infection or lower extremity venous thrombosis before surgery;(3) Severe puncture site infection or damage; (4) Psychiatric and neurological disorders; (5) History of coagulation dysfunction or hemorrhagic disease; (6) Severe liver dysfunction (=child-plugh level 3),or severe renal dysfunction (serum creatinine = 177µmol/L).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS scores for rest and movement;the dose of rescue analgesics within 24h, 48h after surgery;inflammatory factor level;plasma levels of norepinephrine, adrenaline, cortisol;Postoperative complications such as delirium, pulmonary infection, pressure sores, deep vein thrombosis; | — |
Secondary
| Measure | Time frame |
|---|---|
| the number of compressions of analgesic pump within 24h, 48 h after surgery;Hemodynamic index(MAP?HR);Postoperative adverse reactions such as nausea and vomiting, dizziness, respiratory depression, urinary retention and so on;Recovery quality score at 24h after surgery;Postoperative analgesia satisfaction score; | — |
Countries
China
Contacts
Public ContactFoquan Luo
The First Affiliated Hospital of Nanchang University
Outcome results
None listed