Surgery for Hip Fracture in the Elderly
Conditions
Interventions
Hydromorphone group:Simultaneously with the completion of the iliofascial block injection, the hydromorphone group (H.Group) was injected intravenously with hydromorphone 0.5 mg (3 ml) over a 1-minute
Saline group:At the same time as the iliofascial block injection was completed, 0.9% saline (3 ml) was injected intravenously in the saline group (N.Group) for a duration of 1 minute.
Sponsors
China-Japan Friendship Hospital
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. ASA class II-III; 2. Age >=65 years; 3. Scheduled to undergo the following procedures under spinal anesthesia: total hip arthroplasty, femoral head replacement, intramedullary nailing, or screw fixation.
Exclusion criteria
Exclusion criteria: 1. Failure to obtain informed consent; 2. Lacks capacity to provide informed consent; 3. Allergy to ropivacaine, hydromorphone, or related components; 4. Contraindications to neuraxial anesthesia or iliac fascia block; 5. Opioid abuse or pathological pain requiring long-term analgesic therapy; 6. Gastric retention or paralytic ileus; 7. Psychiatric disorders.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| visual analog score (VAS) of pain ; | — |
Secondary
| Measure | Time frame |
|---|---|
| visual analog score (VAS) of pain ;Hemodynamic changes including heart rate (HR) and mean arterial pressure (MAP);Occurrence of adverse reactions such as respiratory depression, dizziness, nausea, vomiting, and pruritus ;overall satisfaction; | — |
Countries
China
Contacts
Public ContactLi Weixia
China-Japan Friendship Hospital
Outcome results
None listed