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Modified LPB and SPB vs Classical LPB and SPB

NCT ID: NCT05901415

Last Updated: 2023-12-11

Study Results

Results pending

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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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-14

Study Completion Date

2025-06-10

Brief Summary

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The timing of surgery for hip fractures is crucial for elderly patients. The mortality rate for elderly patients after hip fracture is high, and anesthetic decisions significantly affect the patient's outcome. Regional anesthesia has been shown to have better outcomes than general anesthesia. We proposed a newly developed modified position for the ultrasound-guided combined anterior lumbar and lateral sacral plexus block technique that offers benefits, including minimizing interference with circulation and anesthesia, avoiding position change and pain, and providing effective postoperative analgesia.

Detailed Description

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The increasing proportion of elderly patients requiring surgery, particularly for hip fractures, is common among the elderly. The timing of surgery for hip fractures is crucial and most require surgical treatment. The mortality rate for elderly patients after hip fracture is high, and anesthetic decisions significantly affect the patient's outcome. Elderly patients have decreased physiological function and are more susceptible to postoperative complications, such as delirium, constipation, pressure sores, and catheter-related infections. Regional anesthesia has been shown to have better outcomes than general anesthesia. We proposed a newly developed modified position for the ultrasound-guided combined anterior lumbar and lateral sacral plexus block that offers benefits, including minimizing interference with circulation and anesthesia, avoiding position change and pain, and providing effective postoperative analgesia. The study validates the feasibility and effectiveness of this technique for elderly hip fracture surgery and compares it with a traditional lumbar-sacral plexus nerve block, providing a fresh perspective on anesthesia for this type of surgery.

Conditions

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Anesthesia, Local

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A modified semi-supine position of combined anterior lumbar and lateral sacral plexus block
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Caregivers Outcome Assessors

Study Groups

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A Modified Semi-supine Position of Combined Anterior Lumbar and Lateral Sacral Plexus Block

Patients were placed in a supine position with a small pad put under the upper body at the surgical side, then they received a combined anterior lumbar and lateral sacral plexus block.

Group Type EXPERIMENTAL

Combined anterior lumbar plexus and lateral sacral plexus block in a semi-supine position

Intervention Type PROCEDURE

We proposed a modified approach of combined anterior LPB and lateral SPB with the patients posed in a semi-supine position aiming to reduce the pain and discomfort induced by position changing effectively.

A classical Position of Combined Anterior Lumbar and Lateral Sacral Plexus Block

Patients received a combined anterior lumbar and lateral sacral plexus block in a lateral position.

Group Type SHAM_COMPARATOR

Combined anterior lumbar plexus and lateral sacral plexus block in a classical position.

Intervention Type PROCEDURE

Patients posed in a classical position and received combined anterior LPB and lateral SPB.

Interventions

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Combined anterior lumbar plexus and lateral sacral plexus block in a semi-supine position

We proposed a modified approach of combined anterior LPB and lateral SPB with the patients posed in a semi-supine position aiming to reduce the pain and discomfort induced by position changing effectively.

Intervention Type PROCEDURE

Combined anterior lumbar plexus and lateral sacral plexus block in a classical position.

Patients posed in a classical position and received combined anterior LPB and lateral SPB.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

Patients over 70 years of age. ASA classification grades II-IV. Patients with hip fractures requiring surgery (intramedullary nailing of intertrochanteric fractures).

Exclusion Criteria

Peripheral neuropathy or other neurological disorders affecting the nerves involved in the block; Serve coagulopathy or platelet dysfunction; Inability to perform puncture due to infection, wound, or other reasons at the puncture site; Allergy to local anesthetics or any other medications used in the block; Inability to cooperate or communicate with the healthcare provider during the procedure; Patients or their families who cannot understand the conditions and objectives of the study.
Minimum Eligible Age

70 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking Union Medical College Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Xulei Cui, MD

Role: PRINCIPAL_INVESTIGATOR

Peking Union Medical College Hospital

Locations

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Heyu Ji

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Heyu Ji, MD

Role: CONTACT

Phone: +8618374808445

Email: [email protected]

Facility Contacts

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heyu ji

Role: primary

References

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Ji H, Cui X. A modified approach of combined anterior lumbar plexus block with lateral sacral plexus block in a semi lateral supine position for lower limb fracture patients: a case series. BMC Anesthesiol. 2025 Feb 14;25(1):74. doi: 10.1186/s12871-025-02943-0.

Reference Type DERIVED
PMID: 39953416 (View on PubMed)

Other Identifiers

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K3105

Identifier Type: -

Identifier Source: org_study_id