Influence of Standardized Peri-operative Anesthetic and Analgesic Care on the Outcome of Patients Undergoing Hip Fracture Surgeries
Overview
- Phase
- Phase 1
- Status
- Withdrawn
- Enrollment
- 50
- Primary Endpoint
- Opioid Use
Overview
Brief Summary
The purpose of this voluntary research study is to clarify whether or not a single injection nerve block done before surgery and after surgery nerve block catheter can effectively enhance recovery in elderly hip fracture patients in terms of reduced delirium, reduced length of stay and improved surgical and anesthesia outcomes. Delirium is a serious change in mental abilities. It results in confused thinking and a lack of awareness of someone's surroundings. The disorder usually comes on fast - within hours or a few days. Prolonged hospital stay is one of the risk factors for onset of delirium.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Undergoing anesthesia for hip fracture surgery.
- •Patients with fracture neck of femur fractures.
- •Geriatric patients. (65 years and older)
Exclusion Criteria
- •Non-fracture hip patients
- •non-geriatric patients. (Below 65 years old)
- •Patients not able to consent themselves
- •Non- English-speaking patients
Arms & Interventions
Local anesthesia to treat hip fracture in geriatric patients
Intervention: Ropivacaine (Drug)
Outcomes
Primary Outcomes
Opioid Use
Time Frame: up to 48 hours post hospital admission.
Identification of opioid use via the EMR, Opioids usage is measured at as number of morphine equivalents during the hospital admission.
Pain Control
Time Frame: up to 48 hours post hospital admission.
Pain control is determined by the Likert pain scale, where 0 is no pain and 10 as severe pain
Secondary Outcomes
- Delirium score(up to 48 hours post hospital admission.)
Investigators
Shubha Srinivasareddy
Assistant Professor of Anesthesia and Peri-operative care
Milton S. Hershey Medical Center