Cognition Disorders Clinical Trial
Official title:
Impact of Intrathecal Dexamethasone Administration for Elderly Patients With Proximal Femoral Fracture
Spinal anesthesia blocks acute pain in older patients with femur fracture. Delirium is a
common complication seen after femur fracture, affecting approximately 10-16% of patients. It
is associated with increased mortality at 1st year, delayed rehabilitation efforts, prolonged
length of hospital stay, poorer functional outcomes, and increased risk of nursing home
placement.
Intrathecal dexamethasone administration improves quality of anesthesia in patients with
femur fracture compared to conventional spinal anesthesia.
The aim of this research was to establish the influence of intrathecal dexamethasone
administration in spinal anaesthesia with levobupivacaine on postoperative pain and changes
of consciousness, values of cortisol levels and quality of treatment for patients with
femoral fractures compared to spinal anaesthesia with only local anaesthetic.
The study was planned as a prospective, observational, randomised clinical trial. A total of
60 patients ASA2 and ASA3 status, scheduled for surgical procedures were sorted into two
groups and underwent surgery in spinal anesthesia with levobupivacaine with or without
dexamethsone.
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