Peripheral Nerve Block vs Spinal Anesthesia in Patients With Femur Fracture

• Status: Active, not recruiting
• Trial end date: 2024-06-15
• Target enrollment: 0
• Participant gender: All

Summary

Femur Fractures (PF) are nowadays one of the main social and health problems in industrialized countries. PF are defined as crack or break of the proximal femur and they represent an important cause of morbidity and mortality in elderly population.

The main prospective and retrospective studies do not show the superiority of subarachnoid anesthesia over general anesthesia in terms of 30-day mortality and post-operative complications, however they always recommend the execution of PeripheralNerve Blocks (PNB). Loco-regional anesthesia plays a fundamental role in the treatment of peri-operative pain assuring better hemodynamic stability and has already fully entered national and international pain management protocols, because it allows faster recovery times with a reduction in the use of intravenous analgesic drugs in particular opioids and consequently a faster discharge and a reduction in peri-operative complications and the costs of assistance.

The aim of our study will be to propose an anesthetic approach based on PNB that could be particularly suitable for frail patients especially when Neuroaxial Anesthesia (NA) is not feasible due to difficulty to position the patient or to the withdrawal time of anticoagulant or antiplatelet therapies.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Federico II University
• Treatments: Anesthetics

Criteria

"Inclusion Criteria" :

• Subject has signed and dated an Informed Consent Form

• Subject is classified as a ASA (American Society of Anesthesiologists) status I-IV

• Subject is age over 65 years old

• Subjects with femur fracture, candidates for intramedullary nailing surgery, to be operated on within 48 hoursPatients undergoing total hip arthroplasty

"Exclusion Criteria":

• Age younger than 65 years

• Subject with contraindications to subarachnoid technique or peripherical nerve blocks

• Subject with local anesthetic allergy

• Subject in whom the treatment protocol could not be fully applied were excluded from this study.

• Study refusal

• Neurological disease of the lower limbs