Perioperative Pain and Delirium in Geriatric Patients With Hip Fracture

  • STATUS
    Recruiting
  • participants needed
    80
  • sponsor
    Aretaieion University Hospital
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Updated on 16 February 2024
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ropivacaine
hip fracture
delirium
ache

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

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

Details
Condition Delirium, Analgesia, Dementia, Dementia, Pain, Pain, Acute Pain Service, Alzheimer's Disease, Alzheimer's Disease, HIP FRACTURE, Mental Status Change, Delirium in Old Age
Age 75years - 105years
Treatment fascia iliaca compartment block with ropivacaine, fascia iliaca compartment block with placebo
Clinical Study IdentifierNCT04404959
SponsorAretaieion University Hospital
Last Modified on16 February 2024

Eligibility

 Yes No Not Sure

Inclusion Criteria

geriatric patients
American Society of Anesthesiologists (ASA) I-III
hip fracture patients

Exclusion Criteria

dementia
communication or language barriers
patients with nutritional problems
bedridden patients
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