Femoral Nerve Block Together With Lateral Femoral Cutaneous Nerve Block and Sedation as Anesthesia Among High Risk Patients With Intertrochanteric Fracture Repair Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Intertrochanteric Fractures
- Sponsor
- Military Institute od Medicine National Research Institute
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Percentage of patients suffering from major cardiovascular event during 30 days after the surgery.
- Last Updated
- 5 years ago
Overview
Brief Summary
This single-center open label study compares the outcomes of surgical repair of intratrochanteric fracture under general anesthetic or peripheral nerve blocks.
Detailed Description
This single-center open label study compares the outcomes of surgical repair of intratrochanteric fracture under general anesthetic or peripheral nerve blocks. Patients are high risk individuals scheduled for intratrochanteric fracture repair, with contraindications to spinal anesthesia. One group will receive general endotracheal anesthetic, the other femoral and lateral femoral cutaneous nerve with deep sedation. Mortality, morbidity (major cardiovascular incidents,delirium, pneumonia), pain scores and opioid consumption will be recorded.
Investigators
Jakub Klimkiewicz
Principal Investigator
Military Institute od Medicine National Research Institute
Eligibility Criteria
Inclusion Criteria
- •intratrochanteric fracture
- •need for surgery
- •contraindications for spinal anesthesia
Exclusion Criteria
- •allergy to local anesthetics
Outcomes
Primary Outcomes
Percentage of patients suffering from major cardiovascular event during 30 days after the surgery.
Time Frame: 30 days from the day of the surgery.
Occurence of stroke or acute coronary syndrome will be assessed during period of 30 postoperative days. The result will be displayed as a percentage of examined group.
Percentage of patients suffering from postoperative delirium during 7 days after the surgery.
Time Frame: 7 days after the surgery.
Occurence of postoperative delirium will be assessed during 7 days after the surgery. The result will be displayed as a percentage of examined group.
Percentage of patients surviving 30 days after the surgery.
Time Frame: 30 days from the day of the surgery.
Numbers of survivors will be assessed on 30th day after the surgery. The result will be displayed as a percentage of examined group.
Secondary Outcomes
- Opioid consumption(first 24 hours after surgery)
- Pain score after surgery(first 24 hours after surgery)