Conventional Spinal Anaesthesia Versus Fractional Spinal Anaesthesia on Hemodynamics
- Conditions
- Hip Fractures
- Registration Number
- NCT06583213
- Lead Sponsor
- Ain Shams University
- Brief Summary
compare the systemic haemodynamic response to fractional spinal anaesthesia versus conventional spinal anaesthesia , in a group of elderly and comorbid patients with hip fracture.
- Detailed Description
Spinal anaesthesia affects sympathetic chain activity, leading to a reduction in vasomotor tone.It was found that the incidence of hypotension following single-shot spinal anaesthesia, has previously been described as being 28-69%. As a matter of fact, autonomic nervous system function plays a key role in the development of haemodynamic instability and intraoperative hypotension . Haemodynamic stability should be considered as a primary intraoperative target, since several findings suggest avoiding systemic pressure drops . It was found that hypotension is primarily related to the overall dose injected ; however, several other variables, including the volume, the type of the anaesthetics injected, different adjuvant agents, and pre- and intraoperative factors, may impact the haemodynamic effect of the SA.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 40
- Patients with hip fractures.
- Patients age >60 years old.
- ASA ≤ 3.
- Patients on anticoagulant medication.
- Planned for general anaesthesia .
- Patients had atrial fibrillation.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Is to measure blood pressure change intra-operative operative operative (2 hours) 2 hours blood pressure monitoring
- Secondary Outcome Measures
Name Time Method Postoperative pain score for 24 hours within 24 hours pain score using the Visual Analogue Scale
Trial Locations
- Locations (1)
Ain Shams University
🇪🇬Cairo, Egypt