Femoral Neck Fracture Clinical Trial
Official title:
Comparative of Postoperative Pain Control at 24 and 48 Hours Between Intrathecal 0.1 mg. of Morphine or Local Infiltration of 20 ml. of 0.25% Bupivacaine in Patients Post Hip Hemiarthroplasty Under Spinal Anesthesis
Falls are a common problem in elderly people which they have to receive the operation. Hemiarthroplasty is one of the common orthopedics operations. The prompt operation and good pain control will provide the good recovery and outcome. The investigators compare the efficacy of postoperative pain control between Intrathecal morphine 0.1 milligrams (mg.) with the local infiltration of 0.25% Bupivacaine for 20 milliliters (ml.) in patients received hip hemiarthroplasty under spinal anesthesia.
Study process All the patients who assigned the hip hemiarthroplasty without any exclusion
criteria will be enrolled in the study and be divided into 3 groups randomly
1. control group : the patients will be received spinal anesthesia with 0.5% Isobaric
Bupivacaine and postoperative pain control by intravenous (IV) Patient - control
Analgesia (PCA)
2. Morphine group : the patients will be received 0.1 mg. of Morphine added in Isobaric
Bupivacaine for spinal anesthesia and postoperative pain control by IV PCA
3. Local group : the patients will be received spinal anesthesia and periarticular tissue
infiltration with 0.25% Bupivacaine and postoperative pain control by IV PCA
Data collection
1. Demographic data : age, sex, Body Weight, Body Mass Index (BMI), ...
2. Pain score every 3 hours postoperatively in the first 6 hours and at the 12th hours by
visual analogue scoring system
3. Patient global assessment and patient satisfactory visual analogue scoring system at
24th and 48th hour
4. the amount of morphine during 24 and 48 hours postoperative and the time of first dose
they received
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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