Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with a hip fracture presenting for surgery, aged 45 years and older, without contraindications for regional anesthesia.
Exclusion criteria
Exclusion criteria: 1. Patients with uncontrolled hypertension, hyperthyroidism or severe dementia 2. allergy to ropivacaine 3. Regional anatomical abnormalities or infections at the site of block. 4. Bleeding disorders e.g., thrombocytopenia, high INR, high PT in patients known to have chronic liver disease or impaired kidney. 5. Patients on chronic pain medications or regularly receiving analgesics. 6. Patients with high kidney functions e.g., high serum creatinine level.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| •The postoperative NRS pain score will be followed up for 34 hours postoperatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| • NRS pain scores on day 1 postoperatively. • Postoperative quadriceps strength. o Quadriceps strength will be assessed using the knee extension test11 and Oxford muscle strength grading12 with grouped scores of intact (5/5), reduced (1-4/5) and absent (0/5). • Perioperative opiate use. o Opiate use will be reported as use intraoperatively, on day 0, first request of analgesia postoperatively, and total use of analgesia for 6 hours postoperatively will be reported. o PCA would be used for patient when needed with bolus dose of 50 mcg and infusion rate of = 10mcg/h of fentanyl, total dose of fentanyl administered to the patient over 6 hours postoperatively and its onset of action will be reported. • Postoperative complications. • Time of first request of analgesia and dosage. • Length of hospital stay. • patient satisfaction and patient-reported outcomes measures (PROMs). o On day 1, parameters of patient satisfaction, pain experienced, and quality of recovery will be evaluated using the Patient-Reported Outcomes Measurement Information System (PROMIS) item banks for evaluation of depression and pain interference, Brief Pain Inventory (BPI) and the Quality of Recovery (QoR-15) questionnaires (Appendix 1). o The APS assessed patient satisfaction and pain management on day 1. o Patients will be asked to recall the time the block wore off, defined as return of motor (if initially impaired) and/or sensory recovery. | — |
Countries
Egypt
Contacts
associate prof