Continuous Spinal Anesthesia Versus Combined Spinal Epidural Block

Not Applicable

• Conditions: Hip Fractures; Knee Arthroplasty; Femur Fracture

• Registration Number: NCT00616044
• Lead Sponsor: Sao Jose do Rio Preto Medical School

Brief Summary

In major orthopaedic surgery of the lower extremities both continuous spinal anesthesia (CSA) and combined spinal epidural anesthesia (CSE) are safe and reliable anaesthesia methods. Our results suggest that both continuous spinal anesthesia and combined spinal epidural anesthesia provide good surgical conditions with a low incidence of complications. The sensory block level and hemodynamic changes were lesser with CSA.

Detailed Description

240 patients scheduled for hip, knee arthroplasty or fracture of the femur were randomly assigned to receive either CSA or CSE. Blocks were performed in the lateral position at L3-L4 interspace. Puncture success, technical difficulties, paresthesia, highest level of sensory and motor block, need for complementary doses of local anesthetic, degree of technical difficulties, cardiocirculatory changes and post dural puncture headache were registered. At the end of the surgery, the catheter was removed and CSF leak was evaluated.

Study Timeline

• Status Verified: 2008-01
• Primary Completion: 2008-02
• Study First Submitted: 2008-02-04
• Study First Submitted QC: 2008-02-14
• Last Update Submitted: 2008-02-14
• Study First Posted: 2008-02-15
• Last Update Posted: 2008-02-15
• Study Start: 2008-03
• Study Completion: 2009-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 240

Inclusion Criteria

• Fractures repair of femur, or arthroplasty of either knee or hip

Exclusion Criteria

• Hypovolemia
• Preexisting neurologic disease
• Coagulation disorders and/or administration of thromboprophylaxis less than eight hours before the start of surgery
• Infection at the puncture site
• Agitation or delirium and the presence of a urinary bladder catheter.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Primary Outcome Measures

Name	Time	Method
Comparison between continuous spinal anesthesia versus combined spinal-epidural anesthesia in major orthopedic surgeries.	five years

Trial Locations

Locations (1)

SaoJoseRPU; 🇧🇷 São José do Rio Preto, São Paulo, Brazil