Blocks for Intertrochanteric Fracture Repair Surgery

Military Institute od Medicine National Research Institute

Status: Unknown

Conditions: Intertrochanteric Fractures

Treatments: Other: General anesthesia; Other: Regional anesthesia- femoral and lateral femoral cutaneous nerve blocks

Study type: Interventional

Funder types: Other

Identifiers

NCT04470115

01_2019

Details and patient eligibility

About

This single-center open label study compares the outcomes of surgical repair of intratrochanteric fracture under general anesthetic or peripheral nerve blocks.

Full description

This single-center open label study compares the outcomes of surgical repair of intratrochanteric fracture under general anesthetic or peripheral nerve blocks.

Patients are high risk individuals scheduled for intratrochanteric fracture repair, with contraindications to spinal anesthesia. One group will receive general endotracheal anesthetic, the other femoral and lateral femoral cutaneous nerve with deep sedation.

Mortality, morbidity (major cardiovascular incidents,delirium, pneumonia), pain scores and opioid consumption will be recorded.

Enrollment: 100 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• intratrochanteric fracture
• need for surgery
• contraindications for spinal anesthesia

Exclusion criteria

• allergy to local anesthetics

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

General anesthesia

Active Comparator group

Description:

Patients will receive general endotracheal anesthesia with propofol, fentanyl, sevoflurane and rocuronium.

Treatment:

Other: General anesthesia

Regional anesthesia

Experimental group

Description:

Patients will receive femoral and lateral femoral cutaneous nerves block under ultrasonographical guidance before operation.During surgical procedure they will receive deep sedation with propofol.

Treatment:

Other: Regional anesthesia- femoral and lateral femoral cutaneous nerve blocks