Comparing spinal anesthesia and erector spinae plane block for femur surgery in critically ill adults
Comparison of Spinal Anesthesia and Erector Spinae Plane Block in Terms of Pain Management, Perioperative Hemodynamic Changes, Morbidity and Mortality in Critically Adult Patients Undergoing Surgery Due to Femur Fracture
This study is testing whether spinal anesthesia or an erector spinae plane block works better for pain management and recovery in critically ill adults having surgery for femur fractures.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 40 (estimated) |
| Ages | 65 Years to 100 Years |
| Sex | All |
| Sponsor | Duzce University Academic / other |
| Locations | 1 site (Duzce, Düzce) |
| Trial ID | NCT06652334 on ClinicalTrials.gov |
What this trial studies
This observational study aims to compare two regional anesthetic techniques—spinal anesthesia and erector spinae plane (ESP) block—in critically ill adult patients undergoing surgery for femoral fractures. The study will assess various outcomes including intraoperative and postoperative hemodynamics, pain scores, duration of intensive care unit stay, hospitalization lengths, and overall morbidity and mortality. Participants will be assigned to either spinal anesthesia or ESP block, allowing for a direct comparison of these methods in a clinical setting.
Who should consider this trial
Good fit: Ideal candidates are patients over 65 years old with femoral fractures who are in ASA III risk group and require postoperative intensive care.
Not a fit: Patients who are suitable for general anesthesia or have contraindications to neuraxial blockage will not benefit from this study.
Why it matters
Potential benefit: If successful, this study could help identify the most effective anesthesia method for improving outcomes in critically ill patients undergoing femur surgery.
How similar studies have performed: While there have been studies on regional anesthesia techniques, this specific comparison in critically ill patients is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Agree to participate in the study * Patients older than 65 years of age who are planning to undergo an operation for a femur fracture and who are in the ASA III and above risk group and for whom postoperative intensive care unit follow-up is foreseen * Patients who agree to be operated under regional anesthesia Exclusion Criteria: * Patients who did not want to be included in the study * Patients considered suitable for operation under general anesthesia * Patients allergic to bupivacaine * Patients with contraindications to neuraxial blockage (infection at the injection site, coagulopathy or other bleeding diathesis, severe hypovolemia, increased intracranial pressure, severe aortic stenosis, severe mitral stenosis)
Where this trial is running
Duzce, Düzce
- Duzce University Faculty of Medicine — Duzce, Düzce, Turkey (Recruiting)
Study contacts
- Study coordinator: Özlem Ersoy Karka, Ass. Prof.
- Email: drozlemersoy@gmail.com
- Phone: 00905337293978
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.