Hip fracture is the main cause of impairment and death, especially among the elderly. At present, elderly hip fracture number is rising in line with rising elderly population. It is estimated that there were 1.66 million elderly hip fractures in 1990, and the figure is expected to rise to 6.26 million in 2050. Several studies reveal that prompt hip surgery within 48 hours significantly reduced pain, surgery complications, and deaths. Cochrane study found that regional anesthesia could reduce com
Conditions
Interventions
FICB: 0.25% bupivacaine 20 ml
PENG:0.25% bupivacaine 20 ml
, FICB: 0.33% bupivacaine 30 ml
FICB+PENG ,FICB
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
64 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. 65+ years old 2.ASA classification I-III
Exclusion criteria
Exclusion criteria: Alzheimer patients, incapable of pain level description, allergic history of bupivacaine, paracetamol, morphine, prohibition against spinal cord anesthesia and FICB and/or PENG block, pre-existing ailments such as heart failure, irregular acute heart pain, chronic obstructive lung disease, cerebrovascular disease and terminal chronic kidney failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pain score 12 hours Numerical rating scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pain score 24 hours Numerical rating scale,Postoperative pain score 48 hours Numerical rating scale,Morphine consumption 48 hours Total morphine requirement,Time to first sitting without pain within 48 hours after end of the intervention Time,Time to first morphine requirement within 48 hours after end of the intervention Time,Complications such as nausea, vomiting, dizziness, respiratory depression within 48 hours after end of the intervention questionnaire interview | — |
Countries
Thailand
Contacts
Public ContactLuckapa Nuthep
Buddhachinaraj hospital
Outcome results
None listed