Dislocation or strain or sprain of joint or ligaments of hip
Conditions
Interventions
pericapsular nerve group block with 0.375% ropivacaine:Local anesthetic with low concentration is performed in patients before spinal anesthesia. And 20ml 0.375% ropivacaine was injected into hip peri
pericapsular nerve group block with 0.5% ropivacaine:Local anesthetic with high concentration is performed in patients before spinal anesthesia. And 20ml 0.5% ropivacaine was injected into hip pericap
Spinal anesthesia group:Spinal anesthesia was directly performed in patients without extra nerve block.
pericapsular nerve group block with high volume 0.375% ropivacaine:Local anesthetic with high concentration is performed in patients before spinal anesthesia. And 30ml 0.5% ropivacaine was injected i
Sponsors
Department of Anesthesiology, Xiangya Changde Hospital, Changde, Hunan Province
Eligibility
Sex/Gender
All
Age
60 Years to 85 Years
Inclusion criteria
Inclusion criteria: Femoral neck fracture requiring unilateral hip replacement. Age: 60-85 years old, weight: 40-80kg, ASA grade ?-?.
Exclusion criteria
Exclusion criteria: History of opioid abuse and mental illness, local skin infection at the puncture site, peripheral neuropathy and bradycardia, abnormal coagulation, and use of epinephrine receptor blockers.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VAS score when adjusting body position; | — |
Secondary
| Measure | Time frame |
|---|---|
| Anesthesiologist's satisfaction rating of posture;Operation time of spinal anesthesia;Bupivacaine dosage;The operation begins with an anesthetic plane;Perioperative blood pressure;Mean arterial pressure;Heart rate;Effective analgesia time of postoperative limb;Postoperative effective motor block time;Incidence of adverse reactions;Time of first postoperative urination;Incidence of urinary retention after catheter removal;Indwelling catheter rate;Urinary tract infection rate;Ambiguity assessment Scale;Concise Mental state inventory;Onset time of analgesia;IL-6;IL-8;Motor function recovery of lower limb;Quality of Recovery;Strength of quadriceps;Postoperative analgesic consumption; | — |
Countries
China
Contacts
Public ContactZhiyang Cai
Xiangya Changde Hospital
Outcome results
None listed