Comparison of Regional Anaesthesia Methods for Femoral Neck Fracture Surgery

Bursa Yuksek Ihtisas Training and Research Hospital300 enrolled

Overview

Femoral fracture surgery is frequently performed especially in geriatric population. Compared to general anaesthesia, regional anaesthesia is preferred to general anaesthesia in the geriatric patient population due to lower postoperative pulmonary complications, reduced frequency of delirium and analgesic requirement, intraoperative haemodynamic stability, early postoperative mobilisation and early discharge. Central and peripheral regional anaesthesia methods have advantages and disadvantages. This situation causes difficulties in the choice of anaesthesia method. Central regional anaesthesia techniques have more haemodynamic effects and higher frequency of complications compared to peripheral methods. The disadvantages of peripheral methods are that they require ultrasound, block needle, nerve stimulator and require knowledgeable and skilled practitioners. Since there is no study showing the comparison of peripheral nerve blocks and hypobaric spinal anaesthesia with objective nociception values and there are difficulties in the choice of anaesthesia method in this regard, a study was deemed necessary.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

300

Conditions

Femoral Neck Fractures Regional Anesthesia

Interventions

hypobaric spinal anaesthesiaPROCEDURE

0.5% Bupivacain and distilled water with bupivacaine hydrochloride active ingredient will be applied in the range of 2-4cc according to the patient's height and weight.

lumbar plexus blockPROCEDURE

ultrasound and nerve stimulator will be used for lumbar plexus block

hyperbaric spinal anesthesiaPROCEDURE

0.5% hyperbaric Bupivacain hydrochloride active ingredient will be applied in the range of 2-4cc according to the patient's height and weight.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * \>18 years and \<90 years * ASA (American Society of Anesthesiologists) score between I and IV * Patients who will undergo femoral neck fracture surgery Exclusion Criteria: * Previous local anesthetic allergy * Those with bleeding diathesis disorder * Having a mental disorder * Those who are allergic to the drugs used * Patients who did not consent to participate in the study * Presence of infection in the block area * Body mass index \>30 * Preoperative or intraoperative general anesthesia * Patients for whom consent cannot be obtained * Pregnant patients