None listed
Conditions
Interventions
Part I: Modified anterior iliopsoas interspace group:The needle was inserted 2-3 cm medial to the anterior superior iliac spine, and 10mL 0.333% ropivacaine was injected into the abdominal wall of the
Part I: Posterior lumbosacral plexus group:Posterior lumbar plexus block was performed with 30 mL 0.333% ropivacaine at L2-3 and L3-4 with longitudinal paravertebral scan and out of plane injection wi
Part II:General anesthesia intubation group:Intubation was performed under general anesthesia
Part II:General anesthesia intubation combined with femoral nerve and outer femoral cutaneous nerve block group:General anesthesia was intubated combined with femoral nerve + outer femoral cutaneous n
Part II:General anesthesia intubation combined with lumbosacral plexus block group:Intubation under general anesthesia combined with lumbosacral plexus block
Part II:Laryngeal mask airway under general anesthesia combined with femoral and lateral femoral cutaneous nerve block group:Laryngeal mask airway under general anesthesia combined with femoral and la
Part II:General anesthesia laryngeal mask airway combined with lumbosacral plexus block group:General anesthesia with laryngeal mask airway combined with lumbosacral plexus block
Part II:Intravenous anesthesia + lumbos
Sponsors
Shanghai Sixth People's Hospital
Eligibility
Sex/Gender
All
Age
60 Years to 100 Years
Inclusion criteria
Inclusion criteria: Part I: 1.Age 60 years and above 2.ASA class I-III 3.Internal fixation with hollow screw, dynamic intramedullary nail, proximal intramedullary nail, artificial hip replacement, and hemihip replacement with femoral head were planned Part II: ?ASA ?-? grade. ? All patients who underwent hip fracture surgery in our hospital, including cannulated nail internal fixation, dynamic intramedullary nail internal fixation, proximal intramedullary nail internal fixation, artificial hip replacement, artificial femoral head hemiarthroplasty. ? Age 60 years old and above. ? Primary hip surgery. ? Non-compound injury. ? patients with complete basic information, medical history information, and other follow-up data. ? Non-osteoarthritis patients
Exclusion criteria
Exclusion criteria: Part I: 1.Infection at the puncture site. 2.History of hip surgery. 3.He had lower limb nerve injury. 4.Contraindications to local anesthesia. 5.History of allergy to local anesthetics. 6.Coagulation disorders. 7.Drug or alcohol abuse. 8.Pain medication was taken daily. 9.Combined with other trauma. 10.Preoperative delirium, Parkinson's disease, dementia, severe neurological disease, stroke within 3 months, severe liver dysfunction (Child-Pugh class C), and renal failure were recorded 11.The procedure took more than two hours. 12.The operation could not be performed as scheduled due to unpredictable reasons. 13.Unable to read the pain scale Part II: NA
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Part I:Postoperative stress response and inflammatory markers;Part II: Postoperative mortality (30 days, 120 days, 1 year, 2 years, 3 years, 5 years) in patients with hip fracture under different anesthesia methods; | — |
Secondary
| Measure | Time frame |
|---|---|
| Part I:Incidence of delirium 3 days after surgery;Part I:Postoperative ambulation time;Part I:Pain scores at 1 h after surgery at rest and on exercise;Part I:Length of Stay;Part I:30-day mortality;Part I:Incidence of major postoperative complications (pulmonary infection, deep vein thrombosis, pressure ulcer, cardiovascular complications, etc.);Part I:Pain scores at 24 h after surgery at rest and on exercise;Part I:1-year readmission;Part I: 1-year mortality;Part II: Readmission rate under different anesthesia methods;Part II: Revision rate under different anesthesia methods;Part II:The incidence of postoperative complications (postoperative delirium, pulmonary infection, deep vein thrombosis, pressure ulcer, cardiovascular complications, etc.) under different anesthesia methods; | — |
Countries
China
Contacts
Public ContactTeng Qingyu
Shanghai Sixth People's Hospital
Outcome results
None listed