Fracture of hip
Conditions
Interventions
Ultrasound-guided fascial iliac space block intravenous self-controlled analgesia group (observation group):None
Intravenous self-controlled analgesia group (control group):None
Sponsors
Zhongda Hospital, Southeast University
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age>=65 years old, gender is not limited; 2. Patients receiving general anesthesia with ASA grade I~III; 3. Meet the diagnostic criteria for hip fracture through imaging examinations such as CT and X-ray and routine examination; 4. No history of anesthesia allergy; 5. All patients underwent hip fracture surgery for the first time; 6. No neurological diseases; 7. Use an intravenous analgesic pump during the perioperative period.
Exclusion criteria
Exclusion criteria: 1. Liver and kidney not within the normal range or combined with severe respiratory dysfunction (type I or II respiratory failure) before surgery; 2. Patients with severe mental illness or cognitive dysfunction; 3. Patients who have been taking opioids or antidepressants or sedatives for a long time; 4. Patients admitted to the ICU after surgery; 5. Severe allergic reactions during surgery, which are difficult to maintain hemodynamics; 6. After surgery, there was no single ultrasound-guided iliac fascial space block analgesia in the post-anesthesia recovery room.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Opioid consumption within 48 hours after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| NRS pain score (at rest and when coughing);Pain scores and area under curve (AUC) in different postoperative time periods ;Cumulative opioid consumption in different postoperative time periods;Recovery time (the period from the end of the surgery to the removal of the tracheal tube);Time to first postoperative flatulence;Activities of daily living (Barthel Index,BI) score;Length of postoperative hospital stay;Incidence of postoperative nausea and vomiting (PONV);Postoperative delirium;Other related complications (pulmonary infection, skin itching, respiratory depression, drowsiness, etc.); | — |
Countries
China
Contacts
Public ContactXie Jue
Zhongda Hospital, Southeast University
Outcome results
None listed