Preoperative analgesia in elderly patients with hip fracture
Conditions
Interventions
control group:Ultrasound-guided Fascia Iliaca Compartment Block: 0.1% ropivacaine 30ml+ 2 ml 0.9% normal saline
experimental group 1:Ultrasound-guided Fascia Iliaca Compartment Block: 0.1% ropivacaine 30mL+ nalbuphine 5mg (2ml 0.9% normal saline dilution)
experimental group 2:Ultrasound-guided Fascia Iliaca Compartment Block: 0.1% ropivacaine 30ml+ nalbuphine 10mg (2ml 0.9% normal saline dilution)
experimental group 3:Ultrasound-guided Fascia Iliaca Compartment Block: 0.1% ropivacaine 30ml+ nalbuphine 20mg (2 ml 0.9% normal saline dilution)
Sponsors
Fujian Provincial Hospital
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Patients with hip fracture (femoral neck fracture, intertrochanteric fracture) to be treated by surgery; 2. Aged >= 65 years, regardless of gender; 3. BMI 18.5-30 kg/m2; 4. Passive VAS >= 4; 5. ASA classification of I ~ III; 6. Whom sufficiently informed, and consented to the agreement.
Exclusion criteria
Exclusion criteria: 1. Allergic to nalbuphine or ropivacaine; 2. Patients who have used pain treatment drugs within 24h before surgery; 3. Patients with FICB or NSAIDs or opioid contraindications; 4. MMSE< 24; 5. Puncture site infection or ultrasound can not identify the anatomical structure or the location of the body surface; 6. History of peripheral neuropathy; 7. Coagulation dysfunction; 8. After the completion of the basic laboratory examination, the anesthesiologist will evaluate the patients with surgical anesthesia contraindication.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Degree of pain;Cycle indicators: HR, MBP, SPO2;Sensory block area; | — |
Secondary
| Measure | Time frame |
|---|---|
| Sleep quality score;Ramsay Scores;The hospital indicators;Complication evaluation; | — |
Countries
China
Contacts
Public ContactXiaochun Zheng
Department of Anesthesiology, Fujian Provincial Hospital
Outcome results
None listed