NCT04404959

Perioperative Pain and Delirium in Geriatric Patients With Hip Fracture

Correlation Between Perioperative Pain and Delirium in Geriatric Patients With Hip Fracture

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 80 (estimated)
• Sponsor: Aretaieion University Hospital · Academic / Other
• Sex: All
• Age: 75 Years – 105 Years
• Healthy volunteers: Not accepted

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

Detailed 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

Conditions

• Delirium
• Delirium in Old Age
• Hip Fractures
• Dementia
• Pain
• Analgesia
• Mental Status Change

Interventions

Type	Name	Description
OTHER	fascia iliaca compartment block with ropivacaine	the fascia iliaca compartment block catheter will be placed with the use of ultrasound till the day of surgery. Bolus doses will be given every 12 hours (40 ml of ropivacaine 0.25%)
OTHER	fascia iliaca compartment block with placebo	the fascia iliaca compartment block catheter will be placed with the use of ultrasound till the day of surgery. Bolus doses will be given every 12 hours (40 ml of normal saline)

Timeline

• Start date: 2019-05-10
• Primary completion: 2023-12-31
• Completion: 2023-12-31
• First posted: 2020-05-28
• Last updated: 2022-07-12

Locations

1 site across 1 country: Greece