hypotension,elderly hip fracture,cephalomedullary nail low-dose hyperbaric bupivacaine adjunct intrathecal fentanyl, regular dose
Conditions
Interventions
Group 1 is a study using spinal anesthesia bupivacaine 10 mg,Group 2 is a study by injecting anesthesia into the spinal fluid at a hyperbaric dose.bupivacaine 5 mg, boosted with fentanyl 25 mcg
Placebo Comparator Drug,Experimental Drug
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
65 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1 Elderly persons greater than or equal to 65 years old 2 ASA physical status greater than or equal to II 3 patient hip fracture surgery using surgical repair with cephalomedullary nail.
Exclusion criteria
Exclusion criteria: 1.the patient does not consent 2.have been treated with steroids for more than 2 weeks, causing them to be at risk Hypotension occurs due to a deficiency of adrenal hormones. 3. can not spinal anesthesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| hypotension during surgery repair with cephalomedullary nail mmHg | — |
Secondary
| Measure | Time frame |
|---|---|
| numerical rating scale within 24 hours after surgery score,vasopressor after operation milligram/ microgram,Intravenous crystalloid after operation ml,Sensory blockade level 5,10,15 after spinal anesthesia dermatome level | — |
Countries
Thailand
Contacts
Public ContactChonnikan Aksornmee
Uthaithani hospital
Outcome results
None listed