Elderly hip fracture
Conditions
Interventions
One point method group:The patient is placed in the supine position. The needle is inserted 2–3 cm medial to the anterior superior iliac spine. Using transverse ultrasound guidance, 10 mL of 0.333% ro
Lumbosacral plexus group:The patient is placed in a lateral decubitus position with the block side facing up, the skin of the transverse site is disinfected with iodine, the long axis of the 2-5MHz co
Sponsors
Shanghai Sixth Peoples's Hospital
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age 65 years old and above 2. ASA Class I - III 3. Patients who are going to undergo cannula nail internal fixation, dynamic intramedullary nail internal fixation, proximal intramedullary nail internal fixation, artificial hip arthroplasty, artificial femoral head half hip replacement
Exclusion criteria
Exclusion criteria: 1. Infection at the puncture site 2. History of hip surgery 3. Old fractures 4. Pre-existing nerve damage in the lower limbs 5. Contraindications to local anesthesia 6. History of allergy to local anesthetics 7. Coagulation dysfunction 8. Drug or alcohol abuse 9. Take daily painkillers 10. Combined with trauma to other parts 11. Preoperative delirium, Parkinson's disease, dementia, severe neurological disease, stroke within 3 months 12. Severe hepatic insufficiency (Child-Pugh grade C), renal failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain scores at rest and activity 24 hours after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain scores at rest and activity 1 hours after surgery;Pain scores at rest and activity 6 hours after surgery;Pain scores at rest and activity 48 hours after surgery;Perioperative sufentanil dosage;Postoperative stress response and inflammatory markers;Quadriceps Strength Rating;Difference in the maximum temperature of the same skin area in the innervation zone of the femoral nerve, lateral femoral cutaneous nerve, obturator nerve, iliohypogastric nerve, and lumbosacral trunk of both lower limbs 30 min after nerve block.;Time from surgery to first walk (d);Length of Stay;The incidence of postoperative complications (postoperative delirium, pulmonary infection, deep vein thrombosis, pressure ulcer, cardiovascular complications, etc.) under different anesthesia methods;Patient satisfaction;QoR-15 on postoperative day 1 and postoperative day 2; | — |
Countries
China
Contacts
Public ContactQingyu Teng
Shanghai Sixth People's Hospital
Outcome results
None listed