Delayed Supine Position Post-Spinal Compared With Immediate Supine Position in Geriatric Patients

Impact of Two Minutes Delayed Supine Position Post-Spinal Compared With Immediate Supine Position in Geriatric Patients Undergoing Repair of Fracture Neck of Femur: A Randomized Controlled Trial

Status

Completed

Phases

Phase 2

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07520695

Enrollment

Registered

2026-04-09

Start date

2025-01-01

Completion date

2026-01-01

Last updated

2026-04-09

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

Conditions

we Study the Effect of Keeping the Patient Supine 2 Minutes After Spinal Anesthesia in Geriatric Groups

Keywords

supine, post-spinal, geriatric, delayed

Brief summary

Background: Geriatric patients undergoing femoral neck of fracture (FNOF) repair are highly susceptible to spinal anesthesia-induced hypotension. This study examines whether a two-minute delayed supine position after spinal injection reduces this risk. Methods: Ninety patients aged ≥65 years undergoing FNOF surgery under spinal anesthesia were randomized into two groups. Group D remained seated for two minutes post-spinal injection; Group I was positioned supine immediately. Hemo-dynamic parameters, recorded as primary outcomes, other parameters like vasopressor use, maximum sensory level achieved, duration of surgery, and fluid administration as secondary outcomes.

Interventions

PROCEDURE2 minutes setting post spinal anesthesia

impact of keeping the patient setting 2 minutes after spinal anesthesia on blood pressure in geriatric patients

PROCEDUREimmediate supine position

we put patient in supine position after given spinal immediately

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

60 Years to No maximum

Healthy volunteers

Inclusion criteria

Geriatric patients (aged 65 years and above) scheduled for surgical fixation of fracture neck of femur under spinal anesthesia were eligible for inclusion \-

Exclusion criteria

* Contraindications to spinal anesthesia (e.g., coagulopathy, local infection, etc.). * Haemodynamic instability or baseline systolic BP \< 90 mmHg. * Allergy to study medications. * ASA 4. * Morbidly obese patients (BMI\>40).

Design outcomes

Primary

Measure	Time frame	Description
Incidence of hypotension after spinal anesthesia in both groups	Postprocedural for 2 hours	Hypotension is defined by systolic blood pressure below 90 mmHg or mean arterial BP less than 25% of the basal

Countries

Oman

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 10, 2026