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Feasibility of modified HFNC combined with lumbosacral plexus block for hip surgery in elderly patients

The feasibility of modified nasal high flow oxygenation combined with lumbosacral plexus block for hip surgery in elderly patients: a randomized controlled study

Status
Active, not recruiting
Phases
Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2300068748
Enrollment
Unknown
Registered
2023-02-28
Start date
2023-03-01
Completion date
Unknown
Last updated
2023-05-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hip surgery

Interventions

experience group:High flow oxygen delivery through nasopharyngeal airway
control group:Laryngeal mask insertion, keeping spontaneous breathing

Sponsors

The First Hospital of Jiaxing
Lead Sponsor

Eligibility

Sex/Gender
All
Age
65 Years to 89 Years

Inclusion criteria

Inclusion criteria: Patients with unilateral hip surgery, regardless of gender, age 65 to 89 years old, body mass index 18 to 25 kg/?, ASA grade I-III, can complete the Mini Mental State Examination (MMSE) and the Consciousness Disorder Assessment Method (CAM), and MMSE>24 points.

Exclusion criteria

Exclusion criteria: People with fracture, block or puncture site infection, coagulation dysfunction or immune system disease in other parts; Patients with severe heart, liver, kidney and other important organ diseases; Peripheral nervous disease, nervous or mental system disease; Those who are allergic to all drugs, have no chronic pain, drink excessively, or take opioids for a long time; The second operation of hip joint or the amount of bleeding during operation is more than 800ml.

Design outcomes

Primary

MeasureTime frame
PaO2, PaCO2 and oxygenation index in arterial blood of patients at different time points (T1 ~ T7);

Secondary

MeasureTime frame
General information and operation: age, gender, BMI, ASA classification, education level, operation time, blood loss, infusion volume, urine volume;MAP, HR, body temperature (ear temperature), arterial blood pH, Lac, BE, HCO3 -, and different degrees of intraoperative hypoxemia (SpO2 < 92%, SpO2 < 88%, SpO2 < 85%) and hypotension (MAP < 80% base value) at the same time point from T1 to T7.;Postoperative recovery time, orientation recovery time, retention time in the post anesthesia recovery room (PACU), time to start getting out of bed, time to exhaust anus, time to start eating, and time to leave hospital.;Intraoperative anesthetic dosage, number and dosage of vasoactive drugs.;Adverse reactions such as nausea and vomiting, hypotension, respiratory depression, pulmonary infection, atelectasis, etc.;

Countries

China

Contacts

Public ContactDeng Kang

The First Hospital of Jiaxing

jxmzdk@163.com13736446844

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026