elderly patients with hip fracture
Conditions
Interventions
Group A:A PENG block was performed with a total volume of 20 ml solution containing 0.33% ropivacaine plus 5 mg dexamethasone 15 minutes before surgery.
Group B:A PENG block was performed with a total volume of 20 ml solution containing 0.33% ropivacaine, 5 mg dexamethasone and 0.5 µg/kg dexmedetomidine, 15 minutes before surgery.
Group C:A PENG block was performed with a total volume of 20 ml solution containing 0.33% ropivacaine, 5 mg dexamethasone and 1.0 µg/kg dexmedetomidine, 15 minutes before surgery.
Sponsors
Yi Jishan Hospital,the First Affiliated Hospital of Wannan Medical College
Eligibility
Sex/Gender
All
Age
60 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Age > 60 years old 2. Scheduled for elective hip surgery under general anesthesia 3. American Society of Anesthesiologists (ASA) physical status classification I-III 4. Have a clear understanding of the trial protocol, voluntarily participate in the trial, and sign the informed consent form
Exclusion criteria
Exclusion criteria: 1. Coagulation or neurological dysfunction 2. Long-term use of analgesic drugs 3. History of mental illness or communication disorders 4. Infection at the puncture site or lower extremity motor dysfunction 5. Inability to understand or complete the Visual Analogue Scale (VAS) for pain assessment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual analogue scale (VAS); | — |
Secondary
| Measure | Time frame |
|---|---|
| Heart rate, HR;Medical research council,MRC;Ramsay;Time to first postoperative ambulation;Postoperative length of hospital stay;Number of patient-controlled analgesia (PCA) pump presses within 24 hours postoperatively;Total consumption of rescue analgesics;Dosage ofpropofol and remifentanil;Mean Arterial Pressure,MAP; | — |
Countries
China
Contacts
Public ContactLu Meijing
Yiji Mountain Hospital, the First Affiliated Hospital of Wannan Medical College
Outcome results
None listed