NCT06249789

Enhancing Recovery in Hip Fracture Surgeries

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 102 (estimated)
• Sponsor: Hartford Hospital · Academic / Other
• Sex: All
• Age: 60 Years – 89 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this study is to look at how two different types of anesthesia, spinal and general, affect participants with broken hips who are getting a special kind of pain block before surgery. Researchers will check: * How quickly patients are ready for anesthesia * How long they stay in the recovery room after surgery * How much pain medicine they need during recovery * If they experience any confusion * If one group has complications in one of these anesthesia techniques? Participants in the study will be put into one of two groups by chance to see if there's a difference in their recovery.

Detailed description

This clinical trial aims to compare two common anesthesia techniques, spinal and general anesthesia, combined with a preoperative nerve block called the Fascia Iliaca Compartment Block (FICB). The objective is to understand how these methods affect patients undergoing hip fracture surgery. The main questions this study aims to answer are: * Does the choice between spinal and general anesthesia influence how quickly patients recover from anesthesia? * Does it affect how long patients stay in the Post-Anesthesia Care Unit (PACU)? * Does it change the amount of opioid pain medication needed after surgery? * Do the different anesthesia types impact the occurrence of postoperative delirium? * Do they affect the length of the hospital stay after surgery? * Do they lead to different rates of post-operative complications? Participants will: * Receive either spinal anesthesia with Fascia Iliaca Compartment Block (FICB) (Arm A) or general anesthesia with Fascia Iliaca Compartment Block (FICB) (Arm B). * Undergo an ultrasound-guided FICB injection. * Receive appropriate anesthesia and sedation during surgery. * Be monitored for pain and provided with pain relief as needed. The study's broader objectives include enhancing patient safety and satisfaction, reducing hospital readmission rates, lowering healthcare costs, and improving overall healthcare practices. Although direct benefits to participants are not guaranteed, the findings will inform better care for future patients with hip fractures.

Conditions

• Hip Fractures

Interventions

Type	Name	Description
PROCEDURE	Spinal Anesthesia	Participants in this arm will receive single-shot spinal anesthesia with 12-15 mg of either 0.05% or 0.75% bupivacaine (iso or hyperbaric) once before surgery. Additionally, they will undergo an ultrasound-guided nerve block called the Fascia Iliaca Compartment Block (FICB ) in combination with spinal anesthesia.
PROCEDURE	General Anesthesia	Participants in this group will be given a combination of general anesthesia and a nerve block. General anesthesia involves the use of a sedative called propofol, along with devices to ensure that the airway remains open during the procedure. Additionally, they will undergo an ultrasound-guided nerve block known as the Fascia Iliaca Compartment Block (FICB) in combination with spinal anesthesia.

Timeline

• Start date: 2024-02-01
• Primary completion: 2025-02-01
• Completion: 2025-05-01
• First posted: 2024-02-08
• Last updated: 2024-02-08