Impact of Regional Anesthesia on Blood Pressure in Humeral Fracture Surgery : Comparative Study Using Propensity-score
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 250
- 试验地点
- 1
- 主要终点
- Number of Participants requiring vasopressors in peroperative
研究概览
简要总结
This study aims to compare the hemodynamic impact of two anaesthetic strategies : Regional anesthesia versus General anesthesia in proximal humeral fracture surgery.
详细描述
Proximal humeral fracture surgery is frequently performed under General Anesthesia (GA).
GA is frequently associated with a high risk of hypotension with significant consequences.
Regional anesthesia could be an interesting alternative to GA in order to limit hemodynamic consequences, especially in elderly patients. Furthermore, in the current state of Covid 19 crisis, regional anesthesia could provide solutions in exposing less medical staff on patient's airway.
The investigators hypothesize that the use of Regional anesthesia reduces the use of intraoperative vasopressor during surgery.
After ethical committee approval, a retrospective cohort of patients with proximal humeral fracture, in Montpellier's University Hospital, was analyzed from 2016 to 2020. An informational note was given to all patients participating to the study.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ASA I - IV
- •Proximal humeral fracture
- •Operated between january 2016 and december 2020
- •Emergency surgery
排除标准
- •Surgical revision or surgery for pre-existing infection, tumour
- •Intubated patient / unconscious patient
- •Haemostasis disorder
- •Haemostasis disorder
- •Refusal of the patient
结局指标
主要结局
Number of Participants requiring vasopressors in peroperative
时间窗: during surgery (between anaesthethic induction and end of surgical procedure)
Number of Participants who used vasopressors in peroperative
次要结局
- Postoperative complications(between surgery and 2 days post-operative)
- Length of stay in duty or ICU(between the day of surgery and up to 1 month)
- Total dose of vasoconstrictor(during surgery (between anaesthethic induction and end of surgical procedure))
- Intraoperative complications(during surgery (between anaesthethic induction and end of surgical procedure))
- Total time spent on vasopressor(during surgery (between anaesthethic induction and end of surgical procedure))
- total dose of rescue analgesia(between discharge from operating room and 24h post-operative)
- Total time spent in the operating room(between arrival in the operating room and discharge from the operating room)