Impact of Two Minutes Delayed Supine Position Post-Spinal Compared With Immediate Supine Position in Geriatric Patients Undergoing Repair of Fracture Neck of Femur: A Randomized Controlled Trial
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Incidence of hypotension after spinal anesthesia in both groups
研究概览
简要总结
Background: Geriatric patients undergoing femoral neck of fracture (FNOF) repair are highly susceptible to spinal anesthesia-induced hypotension. This study examines whether a two-minute delayed supine position after spinal injection reduces this risk. Methods: Ninety patients aged ≥65 years undergoing FNOF surgery under spinal anesthesia were randomized into two groups. Group D remained seated for two minutes post-spinal injection; Group I was positioned supine immediately. Hemo-dynamic parameters, recorded as primary outcomes, other parameters like vasopressor use, maximum sensory level achieved, duration of surgery, and fluid administration as secondary outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Geriatric patients (aged 65 years and above) scheduled for surgical fixation of fracture neck of femur under spinal anesthesia were eligible for inclusion
排除标准
- •Contraindications to spinal anesthesia (e.g., coagulopathy, local infection, etc.).
- •Haemodynamic instability or baseline systolic BP < 90 mmHg.
- •Allergy to study medications.
- •Morbidly obese patients (BMI>40).
研究组 & 干预措施
putting patients immediately in a supine position after spinal anesthesia
干预措施: immediate supine position (Procedure)
keeping the patient 2 minutes setting after spinal anesthesia
干预措施: 2 minutes setting post spinal anesthesia (Procedure)
结局指标
主要结局
Incidence of hypotension after spinal anesthesia in both groups
时间窗: Postprocedural for 2 hours
Hypotension is defined by systolic blood pressure below 90 mmHg or mean arterial BP less than 25% of the basal
次要结局
未报告次要终点
研究者
Amir M Shabana
Assistant prof
Sohar Hospital