Intertrochanteric fracyures in older adults
Conditions
Interventions
Control group:Inject 0.5% isobaric bupivacaine 1.5-2ml into the subarachnoid space between L2, 3 or L3, 4, and indwelling the catheter epidural
Experimental group:For suprainguinal fascia iliaca compartment block combined with sacral plexus block, 30ml of 0.375% ropivacaine was injected, and for sacral plexus block, 20ml of 0.375% ropivacaine
Sponsors
Dalian Municipal Central Hospital Affiliated to Dalian Medical University
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Aged > 60 years, with intertrochanteric fractures; 2. ASA I-III; 3. The first operation of unilateral intertrochanteric fracture; 4. No nerve block analgesia was performed 24 hours before operation.
Exclusion criteria
Exclusion criteria: 1. Refuse to participate in the test; 2. Patients who cannot undergo nerve block or combined block anesthesia; 3. In addition to intertrochanteric fractures, there are other fractures; 4. Prosthesis fracture; 5. Bilateral fracture; 6. Recent stroke (within 1 month); 7. Coexisting active heart disease (unstable angina pectoris, recent myocardial infarction, decompensated heart failure, severe arrhythmia, severe valvular heart disease); 8. Complicated with severe lung diseases (acute respiratory failure, acute lung infection, acute asthma); 9. Patients with contraindications to the anesthesia methods or drugs implemented in this trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale/Score;Total norepinephrine IV(intravenous injection);Analgesic dosage 24 hours after operation;Pro-BNP(Brain Natriuretic Peptide);Bauer patient satisfaction questionnaire;hs-cTnT; | — |
Secondary
| Measure | Time frame |
|---|---|
| ADL (Activity of Daily Living Scale);Incidence of nausea;Incidence of vomiting; | — |
Countries
China
Contacts
Public ContactBi Congjie
Dalian Municipal Central Hospital Affiliated to Dalian Medical University
Outcome results
None listed