Comparison of hypobaric unilateral spinal anesthesia versus general anesthesia on heart rate, blood pressure change and mortality in hip fracture surgery

Status

Recruiting

Phases

Phase 3

Study type

Interventional

Source

IRCT

Registry ID

IRCT20250809066791N1

Enrollment

Registered

2025-11-04

Start date

2025-11-22

Completion date

Unknown

Last updated

2025-12-08

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

Conditions

Hip fracture surgery. Fracture of head and neck of femur

Interventions

Intervention 1: Intervention group: Unilateral Spinal Anesthesia with Ropivacaine and Sufentanil: In this group, patients undergo Unilateral Spinal Anesthesia (ULSA). After injecting 500 cc of normal

Eligibility

Sex/Gender

All

Age

60 Years to No maximum

Inclusion criteria

Inclusion criteria: People over 60 years of age who visit Shahid Rajaee Hospital in Qazvin and undergo orthopedic surgery due to a hip fracture

Exclusion criteria

Exclusion criteria: Allergy to ropivacaine Multiple trauma

Design outcomes

Primary

Measure	Time frame
Severe hypotension during surgery. Timepoint: From the start of anesthesia to the end of the surgery. Method of measurement: Non-invasive blood pressure measurement with standard monitoring every three minutes.;Intraoperative norepinephrine intake. Timepoint: From the start of anesthesia or numbing to the end of the surgery. Method of measurement: Total dose recorded on the anesthesia sheet.;Amount of ephedrine taken during surgery. Timepoint: From the start of anesthesia or numbing to the end of the surgery. Method of measurement: Total dose recorded on the anesthesia sheet.;Seven-day postoperative mortality. Timepoint: From the end of surgery to seven days later. Method of measurement: Clinical follow-up and hospital record review.	—

Measure

Time frame

Severe hypotension during surgery. Timepoint: From the start of anesthesia to the end of the surgery. Method of measurement: Non-invasive blood pressure measurement with standard monitoring every three minutes.;Intraoperative norepinephrine intake. Timepoint: From the start of anesthesia or numbing to the end of the surgery. Method of measurement: Total dose recorded on the anesthesia sheet.;Amount of ephedrine taken during surgery. Timepoint: From the start of anesthesia or numbing to the end of the surgery. Method of measurement: Total dose recorded on the anesthesia sheet.;Seven-day postoperative mortality. Timepoint: From the end of surgery to seven days later. Method of measurement: Clinical follow-up and hospital record review.

—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactTarokh Rajabinezhad

Qazvin University of Medical Sciences

Tarokhrajabinezhad@gmail.com+98 28 3333 6001

Outcome results

None listed

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