Correlation Between Perioperative Pain and Delirium in Geriatric Patients With Hip Fracture
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Delirium
- Sponsor
- Aretaieion University Hospital
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- pain score 30 minutes after fascia iliaca block
- Last Updated
- 3 years ago
Overview
Brief Summary
The objective of this trial will be to establish whether the ultrasound-guided suprainguinal fascia iliaca compartment block is capable of protecting geriatric patients with hip fracture from delirium as compared to placebo
Detailed Description
Geriatric patients suffer from hip fractures very often. Delirium is a perioperative neuropsychiatric complication that is characterized by sudden change of mental status, inattention, disorientation and memory impairment with fluctuations of symptoms during the day. Delirium causes increased morbidity and mortality, decreased postoperative functional activity and may predispose to dementia. Perioperative pain may be an important predisposing factor to delirium. Intravenous opioids have been widely used to relieve patients with hip fracture from pain, but they have a lot of complications and have been correlated with delirium as well. Fascia Iliaca compartment block is a peripheral compartment nerve block that is used in hip surgeries. Use of this compartment nerve block to protect geriatric patients from delirium has not been studied. The objective of this trial will be to establish whether the ultrasound-guided suprainguinal fascia iliaca compartment block is capable of protecting geriatric patients with hip fracture from delirium as compared to placebo
Investigators
Dr Kassiani Theodoraki
Professor of Anesthesiology
Aretaieion University Hospital
Eligibility Criteria
Inclusion Criteria
- •geriatric patients
- •American Society of Anesthesiologists (ASA) I-III
- •hip fracture patients
Exclusion Criteria
- •communication or language barriers
- •patients with nutritional problems
- •bedridden patients
Outcomes
Primary Outcomes
pain score 30 minutes after fascia iliaca block
Time Frame: 30 minutes after performance of fascia iliaca block
pain score by the use of Numeric Rating Scale (NRS) 30 minutes after fascia ilaca block, ranging from 0 to 10, where 0 means "no pain" and 10 means "worst pain imaginable"
pain score 12 hours after fascia iliaca block
Time Frame: 12 hours after performance of fascia iliaca block
pain score by the use of Numeric Rating Scale (NRS) 12 hours after fascia ilaca block, ranging from 0 to 10, where 0 means "no pain" and 10 means "worst pain imaginable"
Secondary Outcomes
- pain score 1-8 days after fascia iliaca block(1-8 days after fascia iliaca block)