Patients with hip or proximal fracture undergoing spinal anesthesia Patients with hip or proximal fracture undergoing spinal anesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Hip or proximal femoral fracture surgery Planned for spinal anesthesia during surgery ASA classification I-III
Exclusion criteria
Exclusion criteria: Coagulopathy Severe aortic stenosis Left ventricular ejection fraction less than 30 percent N-terminal pro-brain natriuretic peptide (NT-proBNP) more than 300 pg/mL Mobitz type 2 second-degree atrioventricular block) or third-degree atrioventricular block Congestive heart failure or pulmonary edema End-stage renal disease or needed of renal replacement therapy Glomerular filtration rate less than 30 mL/min/1.73sqm Allergy or hypersensitivity to hydroxyethyl starch Hyponatremia (serum Na less than 130 mEq/L) During or recent underwent of another trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of intraoperative hypotension 60 mins Mean arterial blood pressure less than 30 percent from baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| Vasopressor requirement 60 mins norepinephrine equivalent dose equals to [norepinephrine (mcg/min) + dopamine (mcg/kg/min)/2] + [epinephrine (mcg/min)] + [phenylephrine (mcg/min)/10],Incidence of acute kidney injury 24 hours Serum creatinine rising over or equal 0.3 mg/dL | — |
Countries
Thailand
Contacts
Faculty of Medicine, Prince of Songkla University