proximal femoral fractures
Conditions
Interventions
Lateral position with the fracture site up Since there is no clear difference in the prevalence of proximal femoral fractures (femoral neck fracture, femoral trochanteric fracture). Therefore, perf
Sponsors
Aidu Chuo Hospital, Department of Anesthesiology
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients undergoing surgery for proximal femur fracture at our hospital and meet all of the following three items 1. 20 years old and over 2. Spinal anesthesia is scheduled 3. Obtained written informed consent from the patient or patient's family regarding participation in the study
Exclusion criteria
Exclusion criteria: Corresponds to any of the following 1. Fractures may dislocate depending on lateral position 2. Atrial fibrillation: Heart rate is difficult to evaluate 3. Taking beta-blocker: Possibility of little fluctuation in heart rate 4. Cannot take the lateral decubitus position 5. No / less pain in the fractured part (During continuous opioid administration, use of analgesics within 6 hours, hemiplegia on the fracture side, etc.) 6. Patients who are judged to be incompatible by anesthesiologist
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage (%) of strong pain (Pain score 3 points or more) when changing from supine to lateral position Pain score using this study is as follows: 0: calm 1: facial grimacing 2: moaning 3: screaming 4: unable to proceed | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Changes in heart rate during positioning 2. Pain score 3. Quality of position for spinal anesthesia (1: unsatisfactory, 2: satisfactory, 3: good, 4: very good) 4. Time spent on spinal anesthesia [min] | — |
Countries
Japan
Contacts
Public Contactkeisuke Yoshida
Aidu Chuo Hospital Department of Anesthesiology
Outcome results
None listed