Disorder of Hip Joint
Conditions
Keywords
total hip arthroplasty, cerebral oxygen saturation, general anesthesia, spinal anesthesia
Brief summary
The purpose of the study is to compare the effects of spinal and general anesthesia on transcranial regional cerebral oxygen saturation in geriatric patients undergoing total hip arthroplasty.
Detailed description
Geriatric patients who received anesthesia undergoing total hip arthroplasty were randomized by means of a computer-generated randomization order into two groups; general anesthesia group (Group 1) and spinal anesthesia group (Group 2). Before and after induction of the general or spinal anesthesia, patients were monitorized with near infrared spectroscopy for regional cerebral oxygen saturation. Findings were compared statistically.
Interventions
OTHERgeneral anesthesia
effect of general anesthesia on transcranial regional cerebral oxygen saturation
OTHERspinal anesthesia
effect of spinal anesthesia on transcranial regional cerebral oxygen saturation
Sponsors
Antalya Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* patients who undergo elective total hip arthroplasty * American Society of Anesthesiologists class 1 to 3 * Ability to consent
Exclusion criteria
* Pulmonary disease * History of allergic reaction to local anaesthetics * Peripheral neuropathy * Neurologic disease * Coagulation disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in transcranial regional cerebral oxygenation (rSO2) | 60 minutes | Assessed every 5 minutes during the procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post anesthetic complications | 1 day | During stay at the post anesthetic care unit. Any new neurological symptoms etc |
Outcome results
None listed