Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
80 participants
INTERVENTIONAL
2023-06-08
2023-10-01
Brief Summary
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The researchers hypothesized that low-dose bupivacaine would provide adequate anesthesia, less hypotension, and faster recovery.
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Detailed Description
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patient population Patients over 65 years of age who will undergo spinal anesthesia due to hip fracture.
Hemodynamic data(Blood pressure-mmHg, heart rate-beats per minute) of patients, bromage scores, perfusion index (PI) values, discharge time, pain with NRS (numerical rating scale), patient satisfaction will be evaluated ( Numeric output from 1-10).
Hemodynamic variables will be recorded every 2 minutes in the first 20 minutes after spinal anesthesia. hemodynamic variables will be recorded 30 minutes after spinal anesthesia and at the end of the operation.
The perfusion index is the ratio of the blood volume to the pulsatile to non-pulsatile fraction. An increase in the pulsatile fraction that occurs during vasodilation corresponds to a higher PI. Therefore, patients with a higher PI have a higher risk of post-spinal hypotension.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
SINGLE
Study Groups
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7.5 mg hyperbaric bupivacaine
Patients undergoing spinal anesthesia in the lateral decubitus position with 7.5 mg of hyperbaric bupivacaine will be included.
7.5 mg hyperbaric bupivacaine
Spinal anesthesia with 7.5 mg hyperbaric bupivacaine after preoperative peng (pericapsular nerve group) block
5 mg hyperbaric bupivacaine
Patients undergoing spinal anesthesia in the lateral decubitus position with 5 mg of hyperbaric bupivacaine will be included.
5 mg hyperbaric bupivacaine
Spinal anesthesia with 5 mg hyperbaric bupivacaine after preoperative peng (pericapsular nerve group) block
Interventions
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7.5 mg hyperbaric bupivacaine
Spinal anesthesia with 7.5 mg hyperbaric bupivacaine after preoperative peng (pericapsular nerve group) block
5 mg hyperbaric bupivacaine
Spinal anesthesia with 5 mg hyperbaric bupivacaine after preoperative peng (pericapsular nerve group) block
Eligibility Criteria
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Inclusion Criteria
* BMI( body mass index) in the range of 18-40
* over 65 years old hip fracture
Exclusion Criteria
* Left ventricular ejection fraction below 40%
* cardiac arrhythmia
* Patients with peripheral vascular disease
* Failure of spinal anesthesia
65 Years
ALL
Yes
Sponsors
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Ankara City Hospital Bilkent
OTHER
Responsible Party
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Fatma Kavak Akelma
Anesthesiology and reanimation assistant doktor
Locations
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Ankara Bilkent City Hospital
Ankara, Çankaya, Turkey (Türkiye)
Countries
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Other Identifiers
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geriatrics
Identifier Type: -
Identifier Source: org_study_id
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