hip fracture
Conditions
Interventions
Iliac fascia block combined with lumbar anesthesia group:After 0.4% ropivacaine for iliofascial block, the effect of the block was assessed. If it was ineffective, the case was excluded, and those wh
lumbar anesthesia team:Lumbar anesthesia (L3-4 gap) was punctured and 0.5% ropivacaine was given. The initial dose of the drug was 6 mg of 0.5% ropivacaine, which was administered in a gradient of 0.5
Sponsors
Hainan General Hospital
Eligibility
Sex/Gender
All
Age
65 Years to 79 Years
Inclusion criteria
Inclusion criteria: (1) American Society of Anesthesiologists (ASA) class I-III; (2) Age 65-79 years old, weight 45-70 kg, height 150-180 cm, BMI: 18.5-23.9; (3) Hip replacement surgery in our hospital, and no contraindication to intralesional anesthesia; (4) No previous history of mental disorder and able to communicate or score normally; (5) No history of using sedative or analgesic drugs; (6) No infection in the FICB operation area; (7) Patients and their family members sign an informed consent form.
Exclusion criteria
Exclusion criteria: (1) Psychiatric patients, patients unable to complete the scoring; (2) Patients with severe organ diseases such as congenital heart disease, cardiovascular disease and tumors; (3) Patients with hematopoietic dysfunction, immune system defects or organ function defects.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Half effective dose of ropivacaine required for lumbar anesthesia in both groups and its 95% confidence interval; | — |
Secondary
| Measure | Time frame |
|---|---|
| General patient information including age, gender, body mass index, and American Society of Anesthesiologists ASA classification were recorded;;Changes in vital signs (MAP, HR and SpO2) were recorded: the recording periods were before anesthesia (T0), 5 minutes after anesthesia (T1), 10 minutes after anesthesia (T2), 15 minutes after anesthesia (T3), at the time of skin incision (T4), 30 minutes after the beginning of the procedure (T5), and at the time of completion of the procedure (T6);;Patient Positioning Immediate Numeric Rating Scale Score;Motor Block Score; onset of anesthesia;Time for anesthesia to wear off;Duration of analgesia; | — |
Countries
China
Contacts
Public ContactLin Hui
Hainan General Hospital
Outcome results
None listed