The Use of Post-operative Regional Analgesia Rather Than Systemic Analgesia to Decrease the Incidence of Post-operative Delirium After Acute Hip Fracture Surgery? A Prospective Randomized-controlled Double-blinded Pilot Study.
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- The incidence of post-operative delirium after hip fracture surgery
研究概览
简要总结
Post operative delirium is common after hip fracture surgery and is associated with increased length of hospital stay, delayed recovery and increased mortality. Postoperative delirium can also decrease a patient's quality of life and increase treatment costs. Anesthesia and pain relief (analgesia) treatments may also influence the incidence of delirium, but more research is needed into which techniques are effective in improving patient outcomes, care and decreasing costs. This pilot study compares the addition of regional analgesia as part of general anesthesia to determine the incidence of delirium following hip surgery. This is a collaborative study involving anesthesia, orthopedic surgery and geriatrics in the improvement of patient care.
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
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •(must meet all 3):
- •Greater than or equal to 65 years
- •Have a hip fracture requiring surgery
- •Written informed consent for participation of study prior to surgery.
排除标准
- •Contraindication to peripheral nerve block or local anaesthetics
- •Unable to do delirium or cognitive testing due to language, vision or hearing impairment
- •Unable to communicate with research staff due to language barriers
- •History of chronic opioid use (longer than 1 month)
- •Contraindication to general anesthesia
研究组 & 干预措施
General Anesthesia with nerve block
Femoral Nerve Block
干预措施: Femoral Nerve Block (Procedure)
General Anesthesia no nerve block
No femoral Nerve Block
结局指标
主要结局
The incidence of post-operative delirium after hip fracture surgery
时间窗: immeidately to 5 days post operatively
Identify the our local incidence of post operative delirium diagnosed with 3D-CAM (3 Minute Diagnostic Assessment for Confusion Assessment Method)
次要结局
- Decreased recovery time after surgery(immediately - immediately - 90 days)
- Decrease post-operative opioid consumption(immediately - immediately - 90 days)
研究者
Assoc. Prof Timothy Short
Consultant Anesthetist
Auckland City Hospital