Comparison of Anesthesia Methods inIntertrochanteric Fracture Surgery in Elderly Patients

A Comparative Study of Spinal Anesthesia Versus Combined Technique (High volume Diluted Local Anesthetic Infiltration in Soft Tissue and Periosteum with Monitored Intravenous Dexmedetomidine Sedation) for Intertrochanteric Fracture Surgery in Elderly Patients

Status

Recruiting

Phases

Phase 3

Study type

Interventional

Source

IRCT

Registry ID

IRCT20250318065119N1

Enrollment

110

Registered

2025-04-02

Start date

2025-04-05

Completion date

Unknown

Last updated

2025-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Intertrochanteric fracture. Intertrochanteric fracture of femur

Interventions

Intervention 1: Intervention group 1: spinal anesthesia. Intervention 2: Intervention group 2: Combined Technique (High volume Diluted Local Anesthetic Infiltration in Soft Tissue and Periosteum with

Eligibility

Sex/Gender

All

Age

65 Years to No maximum

Inclusion criteria

Inclusion criteria: Age more than 65 years old Intertrochanteric fracture Ban on spinal anesthesia based on the opinion of a respected anesthesiologist

Exclusion criteria

Exclusion criteria: Ban on general anesthesia Subtrochanteric fracture Very complex intertrochanteric fracture Anatomical deformity of the protrochanteric region Simultaneous fracture in the pelvis or lower limb Suspected allergy to dexmedetomidine or ropivacaine Lack of informed consent

Design outcomes

Primary

Measure	Time frame
Duration of Surgery. Timepoint: ??? ????? ?? ????? ??? ????? ??? ?? ???. Method of measurement: ??? ????? ?? ????? ??? ????? ??? ?? ???.;Blood loss. Timepoint: During surgical duration. Method of measurement: Volume of blood loss during surgery, blood gases, suction.;Acidosis. Timepoint: During the surgery and immediately after the surgery. Method of measurement: The level of acidosis in the patient based on HCO3, CO2, BE, and pH in the Atrial Blood Gas.;Duration time in Hospital. Timepoint: Duration time in Hospital. Method of measurement: The number of days the patient stays in the hospital.;Duration Time in ICU. Timepoint: Duration Time in ICU. Method of measurement: Number of days the patient stays in the ICU.;Mortality. Timepoint: During and within 72 hours post-surgery. Method of measurement: Mortality during and within 72 hours post-surgery.;Morbidity. Timepoint: During and within 72 hours post-surgery. Method of measurement: Post surgery complications.;Amounts of Packed Red Blood Cell transfusion. Timepoint: During and within 72 hours post-surgery. Method of measurement: The number of units of packed red blood cells that are transfused.;Pain. Timepoint: 6,12,24 hours after surgery. Method of measurement: Visual Analogue Scale.;Start walking. Timepoint: The first independent walking of patients. Method of measurement: The first independent walking of patients.;Decrease in hemoglobin. Timepoint: Immediately before and after surgery. Method of measurement: Evaluation using comparison of Cell Blood Count before and after surgery.	—

Measure

Time frame

Duration of Surgery. Timepoint: ??? ????? ?? ????? ??? ????? ??? ?? ???. Method of measurement: ??? ????? ?? ????? ??? ????? ??? ?? ???.;Blood loss. Timepoint: During surgical duration. Method of measurement: Volume of blood loss during surgery, blood gases, suction.;Acidosis. Timepoint: During the surgery and immediately after the surgery. Method of measurement: The level of acidosis in the patient based on HCO3, CO2, BE, and pH in the Atrial Blood Gas.;Duration time in Hospital. Timepoint: Duration time in Hospital. Method of measurement: The number of days the patient stays in the hospital.;Duration Time in ICU. Timepoint: Duration Time in ICU. Method of measurement: Number of days the patient stays in the ICU.;Mortality. Timepoint: During and within 72 hours post-surgery. Method of measurement: Mortality during and within 72 hours post-surgery.;Morbidity. Timepoint: During and within 72 hours post-surgery. Method of measurement: Post surgery complications.;Amounts of Packed Red Blood Cell transfusion. Timepoint: During and within 72 hours post-surgery. Method of measurement: The number of units of packed red blood cells that are transfused.;Pain. Timepoint: 6,12,24 hours after surgery. Method of measurement: Visual Analogue Scale.;Start walking. Timepoint: The first independent walking of patients. Method of measurement: The first independent walking of patients.;Decrease in hemoglobin. Timepoint: Immediately before and after surgery. Method of measurement: Evaluation using comparison of Cell Blood Count before and after surgery.

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactSaeed Nodehi

Shahid Beheshti University of Medical Sciences

saeed.nodehi92@sbmu.ac.ir+98 21 2303 1000

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026