Pertrocantheric hip fracture
Conditions
Interventions
Prior to surgery to correct the fractures presented as an inclusion criterion, the patient underwent an anesthetic technique, initially receiving light sedation with 0.5 to 1.5 µk/kg of fentanyl and 0
E02.718.625
Sponsors
Hospital e Maternidade Marieta Konder Bornhausen
Hospital e Maternidade Marieta Konder Bornhausen
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: This study included patients who underwent elective or emergency surgery for hip fracture correction or hip prosthesis insertion, who voluntarily agreed to participate in this research, over 18 years old, with a score of 15 on the Glasgow Coma Scale, with ability to correctly answer the questionnaire applied by the researcher and who signed the informed consent form.
Exclusion criteria
Exclusion criteria: The patients excluded from this work were those who underwent emergency surgery; who reported allergy to local anesthetics (both ropivacaine and bupivacaine); who presented local skin infection where both spinal anesthesia and lumbar plexus block should be punctured were excluded from this study; severe coagulation disorder or use of anticoagulants not paused for adequate time; who had pathologies that prevented the positioning for performing lumbar plexus block or spinal anesthesia; who had neurological symptoms present at the site of innervation related to the lumbar plexus; who had hemodynamic instability; , defined in the study as systolic blood pressure less than 90 mmHg, heart rate greater than 110 beats per minute or need for vasoactive drugs; those who had intracranial hypertension or who were in the presence of sepsis
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Nausea and vomiting were found in greater quantity in the control group in the T4 period (p=0.068).;The respiratory rate was similar in both groups, but the pulse oximetry value was lower in the control group also in the T4 period (p=0.007).;The level of difficulty in performing lumbar plexus block increased as the patient's BMI and abdominal circumference increased: every 2.2 units of increase in BMI was able to modify the level of difficulty in performing the plexus block lumbar spine, as well as each 9 cm increase in abdominal circumference was also.;The absence of complications in the sample of patients undergoing the blockade technique shows a good level of safety of the method if safety measures are followed, such as the use of ultrasound and peripheral nerve stimulator. | — |
Primary
| Measure | Time frame |
|---|---|
| Pain levels assessed at all times were higher in the case group, except at time T4 (24 hours after anesthesia), in which there was a statistically significant difference between the two groups (p=0.039).;The cumulative dose of tramadol at all evaluation times was the same in both groups (77.8 mg), ranging from 0-200 mg in the first group (SD 40.90) and 0-300 mg in the second (SD 69 .09). | — |
Countries
Brazil
Contacts
Public ContactEloisa Saque
Outcome results
None listed