Postoperative pain management
Conditions
Interventions
Control group:A comprehensive evaluation should be carried out at the preoperative visit of anesthesia, and the samples of patients who are not suitable for this study protocol should be excluded: pat
Patients with anatomical variations or local infections at the puncture site and contraindications to neuraxial anesthesia
Those with preoperative basic cognitive function MMSE score < 24 points
Those who are not planned to be admitted to the intensive care unit after surgery.
The coagulation function should be fully evaluated before the combined spinal-epidural anesthesia in the control gro
experimental group:The samples of patients who are not suitable for this study protocol will be excluded: those with severe medical systemic diseases and liver and kidney insufficiency
Those who are not planned to be admitted to the intensive care unit after surgery.
All patients should be adequately assessed for coagulation function prior to the procedure, using ultrasound to loca
Sponsors
Sanming Second Hospital
Eligibility
Sex/Gender
All
Age
65 Years to 100 Years
Inclusion criteria
Inclusion criteria: Patients aged =65 years with diagnosed femoral fractures who have undergone closed reduction and internal fixation; signed informed consent to participate in this study.
Exclusion criteria
Exclusion criteria: Severely obese patients, those allergic to bupivacaine or liposomal components; those with severe cardiopulmonary insufficiency, liver and kidney dysfunction and other systemic diseases; those with mental illness or cognitive impairment unable to cooperate with the study, and those with a history of chronic opioid use.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Perioperative pain score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Mental state score;Postoperative complication rate;Stress indicators assessment (blood glucose, hemodynamic changes);Postoperative joint function recovery situation;Rescue analgesia rate;Patient satisfaction;Hospitalization time;Duration of analgesia; | — |
Countries
China
Contacts
Public ContactTang Shuting
Regular staff members
Outcome results
None listed