Anesthesia for hip joint replacement surgery
Conditions
Interventions
Group GAB:General Anesthesia
Group LPNB:Ultrasound-guided iliac fascia block combined with light specific spinal anesthesia
Sponsors
Nuclear Industry 215 Hospital of Shaanxi Province
Eligibility
Sex/Gender
All
Age
75 Years to 96 Years
Inclusion criteria
Inclusion criteria: 1. Patients who are diagnosed as "unilateral fresh hip fracture" and plan to undergo "posterolateral hip arthroplasty"; 2. ASA classification II-IV; 3. Age: 75-96; 4. BMI16-29; 5. Before operation, use Mini-Cog test to conduct cognitive screening for subjects. If the score is less than 3, the patient is considered to have cognitive impairment).
Exclusion criteria
Exclusion criteria: 1. Combined with fracture of other parts; 2. There are contraindications of spinal anesthesia or nerve block anesthesia; 3. Those who cannot cooperate with the history of mental illness; 4. Allergy to local anesthetics; 5. Refuse to participate in this research project. Mini-Cog score<3 and unable to contact family members.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| occurrence of severe hypotension during surgery(defined as a MAP 12 consecutive minutes); | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative bleeding;Infusion volume;Blood transfusion volume;Ephedrine dosage;Norepinephrine dosage;Myocardial injury;Acute kidney injury;Total length of stay;30-day postoperative mortality;Anesthesia induction time;Number of postoperative transfers to the intensive care unit; | — |
Countries
China
Contacts
Public ContactZhang Afeng
Nuclear Industry 215 Hospital of Shaanxi Province
Outcome results
None listed