Blood Loss, Surgical, Femoral Neck Fractures, Postoperative Pain
Conditions
Keywords
Regional anesthesia, Nerve block, Lumbar plexus block, Spinal anesthesia, Tranexamic acid, Hip fracture surgery
Brief summary
This retrospective observational study evaluates the effect of different regional anesthesia techniques on perioperative blood loss in patients undergoing femoral neck fracture surgery. Patients who received tranexamic acid were grouped by anesthesia method (lumbar plexus block, spinal anesthesia, or general anesthesia). The primary outcomes were intraoperative blood loss and the change in hemoglobin between the preoperative and postoperative periods. Secondary outcomes were postoperative pain (VAS) and total analgesic consumption during the first 24 hours.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged 18 to 100 years * ASA physical status I-IV * Underwent femoral neck fracture surgery * Received tranexamic acid
Exclusion criteria
* Allergy to local anesthetics * Bleeding diathesis or coagulation disorder * Mental disorder * Allergy to the drugs used * History of cerebrovascular disease * Body mass index greater than 30 kg/m2
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative blood loss | Intraoperative (during surgery) | Intraoperative blood loss estimated from the volume in the aspirator container and the blood absorbed in surgical sponges |
| Change in hemoglobin level | Preoperative and within 24 hours postoperatively | Difference between preoperative and postoperative hemoglobin concentration (g/dL) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain score (VAS) | 2, 6, 12 and 24 hours postoperatively | Postoperative pain assessed using the Visual Analog Scale (0-10) |
| Total analgesic consumption | First 24 hours postoperatively | Total amount of analgesic consumed in the first 24 postoperative hours |
Countries
Turkey (Türkiye)
Contacts
University of Health Sciences, Bursa Yüksek Ihtisas Training and Research Hospital