Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT06293404 |
| Other study ID # |
column flexion |
| Secondary ID |
AnkaraCHBilkent |
| Status |
Not yet recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
March 1, 2024 |
| Est. completion date |
April 2024 |
Study information
| Verified date |
February 2024 |
| Source |
Ankara City Hospital Bilkent |
| Contact |
Aziz Aysel, MD |
| Phone |
5336826254 |
| Email |
dr.azizaysel[@]gmail.com |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
The effect of two different positions on spinal anesthesia in hip fracture surgery
Description:
One of the more common reasons for hospitalization in affluent nations is femoral fractures.
Postpartum mortality and morbidity rates for femur fractures are significant. Mortality rates
range from 5% to 8% at the time of initial admission and from 14% to 36% throughout the first
year. Age-related mortality rates are rising. Surgery is necessary for femur fractures, and
spinal anesthesia is frequently the recommended anaesthetic approach.
After spinal anesthesia, hypotension is frequently seen as a result of sympathetic block and
a reduction in systemic vascular resistance. The frequency of hypotension rises as the level
of spinal anesthetic block increases, especially in older people. It has been demonstrated
that hypotension is connected with an increased mortality rate.
Preoperative fluid administration to reduce hypotension loading, lateral decubitus anesthesia
posture, and spinal anesthetic dose reduction techniques have all been used.
There are several methods to enhance the quality of the block in spinal anesthesia, including
local changes to the anesthetic's baricity, volume, infusion rate, and lateral decubitus
position. There are numerous variables, including residency time and spinal needle type. The
influence of alterations in the spinal cord inside the vertebral column on body position in
the literature was examined using lumbar MR imaging. Based on these research, it was intended
to study the role that alterations in spinal anesthesia played in the applications of spinal
anesthesia. spinal column Hemiblock is thought to result in more stable hemodynamics during
anesthesia. Studies can be found. The goal of this study is to administer semispinal
anesthesia while doing spinal anesthesia. To ensure that the underlying spinal cord is
impacted by the local anesthetic and to monitor the impact on unilateral block development
and hemodynamic parameters, the colon is flexed and squeezed to the surgery side and anterior
area of the spinal cord.
The study will take unilateral femoral fracture surgery into account. Both groups will be
given spinal anesthesia in the study's lateral
First, Group F will keep the spinal cord flexed for 10 minutes while Group N will preserve
the spinal cord's normal position in lateral decubitus. The quality of the ensuing block will
be compared between the two groups. When spinal anesthetic is being used, patients may feel
excruciating pain while in the prescribed position.
To lessen positional pain and the impact of hemodynamic deterioration brought on by pain
during spinal anesthesia, pericapsular nerve group (PENG) block will be used.
