Delayed Supine Position Post-Spinal Compared With Immediate Supine Position in Geriatric Patients

Phase 2CompletedNCT07520695

Sohar Hospital90 enrolled

Overview

Background: Geriatric patients undergoing femoral neck of fracture (FNOF) repair are highly susceptible to spinal anesthesia-induced hypotension. This study examines whether a two-minute delayed supine position after spinal injection reduces this risk. Methods: Ninety patients aged ≥65 years undergoing FNOF surgery under spinal anesthesia were randomized into two groups. Group D remained seated for two minutes post-spinal injection; Group I was positioned supine immediately. Hemo-dynamic parameters, recorded as primary outcomes, other parameters like vasopressor use, maximum sensory level achieved, duration of surgery, and fluid administration as secondary outcomes.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

Conditions

we Study the Effect of Keeping the Patient Supine 2 Minutes After Spinal Anesthesia in Geriatric Groups

Interventions

Eligibility

Sex: ALLMin age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: Geriatric patients (aged 65 years and above) scheduled for surgical fixation of fracture neck of femur under spinal anesthesia were eligible for inclusion \- Exclusion Criteria: * Contraindications to spinal anesthesia (e.g., coagulopathy, local infection, etc.). * Haemodynamic instability or baseline systolic BP \< 90 mmHg. * Allergy to study medications. * ASA 4. * Morbidly obese patients (BMI\>40).

Outcomes

Primary Outcomes

Incidence of hypotension after spinal anesthesia in both groups

Hypotension is defined by systolic blood pressure below 90 mmHg or mean arterial BP less than 25% of the basal

Time frame: Postprocedural for 2 hours