Frailty Hip Arthroplasty Hip Fractures Aged Fascia Iliaca Block Laryngeal Masks Spinal Anesthesia Clinical Frailty Scale Postoperative Delirium Postoperative Pain Hemodynamics Pulmonary Complications Recovery of Function Ultrasonography
Conditions
Interventions
Participants will receive ultrasound guided fascia iliaca compartment block followed by general anesthesia using a laryngeal mask airway according to the study protocol. Standard perioperative monitor
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
Ultrasound-guided Fascia Iliaca Compartment Block Combined with Laryngeal Mask Airway Anesthesia,Ultrasound-guided Fascia Iliaca Compartment Block Combined with Spinal Anesthesia
Sponsors
Hanoi Medical University
Eligibility
Sex/Gender
All
Age
60 Years to 120 Years
Inclusion criteria
Inclusion criteria: 1. Patients aged 60 years or older. 2. Diagnosed with frailty, defined as a Clinical Frailty Scale (CFS) score 3. Scheduled for elective unilateral primary hip arthroplasty. 4. Able to understand the study procedures and provide written informed consent
Exclusion criteria
Exclusion criteria: 1. Refusal to participate in the study. 2. Contraindications to spinal anesthesia. 3. Contraindications to fascia iliaca compartment block, including allergy to local anesthetics, infection at the injection site, or coagulopathy. 4. Contraindications to laryngeal mask airway anesthesia, including: anticipated difficult airway, high risk of pulmonary aspiration (e.g., non-fasted patients, gastroesophageal reflux disease with active symptoms, bowel obstruction, delayed gastric emptying), limited mouth opening preventing LMA insertion, upper airway pathology precluding LMA placement. 5. Severe cognitive impairment precluding informed consent or postoperative assessment. 6. Severe psychiatric disorders. 7. Revision hip arthroplasty or simultaneous bilateral hip arthroplasty. 8. Withdrawal of informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of intraoperative hypotension During surgery MAP below 65 mmHg recorded by standard intraoperative monitoring; percentage of patients with above1 hypotensive episode.,Number of hypotensive episodes During surgery Total number of hypotensive episodes | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pain score Two, six, twelve and twenty four hours after surgery Visual analogue scale pain score,Postoperative delirium Within three days after surgery Delirium assessed using the Three Dimensional Confusion Assessment Method.,Postoperative pulmonary complications Within seven days after surgery Presence of pulmonary complications according to clinical diagnosis.,Length of hospital stay At hospital discharge Number of days from surgery to hospital discharge,Patient satisfaction At hospital discharge Satisfaction score using a standardized questionnaire | — |
Countries
Vietnam
Contacts
Public ContactThuy Thi
Hanoi Medical University
Outcome results
None listed