New anesthesia technique for hip fracture surgery in elderly patients
Combined Anterior Lumbar Plexus and Lateral Sacral Plexus Block in a Semi-supine Position for Hip Fracture Surgery in Elderly Patients: A Randomized Controlled Trial
This study tests a new anesthesia method for hip fracture surgery to see if it helps older patients feel less pain and have fewer complications compared to the traditional approach.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 30 (estimated) |
| Ages | 70 Years to 100 Years |
| Sex | All |
| Sponsor | Peking Union Medical College Hospital Academic / other |
| Locations | 1 site (Beijing, Beijing) |
| Trial ID | NCT05901415 on ClinicalTrials.gov |
What this trial studies
This study evaluates a modified ultrasound-guided combined anterior lumbar and lateral sacral plexus block technique for elderly patients undergoing hip fracture surgery. The research aims to compare this new approach with the classical technique to determine its effectiveness and feasibility. By minimizing interference with circulation and avoiding position changes, the modified technique seeks to enhance postoperative analgesia and reduce complications. The study focuses on patients over 70 years old who require surgical intervention for hip fractures, addressing a critical need in geriatric anesthesia.
Who should consider this trial
Good fit: Ideal candidates are patients over 70 years of age with hip fractures requiring surgery and classified as ASA grades II-IV.
Not a fit: Patients with peripheral neuropathy, severe coagulopathy, or those unable to cooperate during the procedure may not benefit from this study.
Why it matters
Potential benefit: If successful, this technique could lead to improved outcomes and reduced complications for elderly patients undergoing hip fracture surgery.
How similar studies have performed: While regional anesthesia has shown better outcomes in similar contexts, this specific modified technique is novel and has not been extensively tested in prior studies.
Eligibility criteria
Show full inclusion / exclusion criteria
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.
Where this trial is running
Beijing, Beijing
- Heyu Ji — Beijing, Beijing, China (Recruiting)
Study contacts
- Principal investigator: Xulei Cui, MD — Peking Union Medical College Hospital
- Study coordinator: Heyu Ji, MD
- Email: jiheyu1929@163.com
- Phone: +8618374808445
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.