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Comparison of Spinal Anesthesia and Erector Spinae Plane Block in Critically Adult Patients Undergoing Femur Surgery
Sponsor: Duzce University
Summary
The goal of this observational study is to compare the regional anesthetic methods (not including general anesthesia) -spinal anesthesia, erector spinae plane (ESP) block- which are in routine practice in critically ill adult patients operated for femur fracture, in terms of intraoperative and postoperative hemodynamics and clinical course, postoperative intensive care unit stay and hospitalization durations, pain scores, postoperative morbidity, and mortality.
Official title: 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
Key Details
Gender
All
Age Range
65 Years - Any
Study Type
OBSERVATIONAL
Enrollment
40
Start Date
2024-03-20
Completion Date
2025-03-15
Last Updated
2026-08-24
Healthy Volunteers
No
Conditions
Interventions
Spinal anesthesia
Spinal anesthesia was performed at the L3-L4 or L4-L5 intervertebral space using intrathecal hyperbaric bupivacaine. After confirmation of adequate sensory block, propofol sedation was titrated to maintain a BIS value between 80 and 90.
Erector spinae plane block
Ultrasound-guided lumbar erector spinae plane block was performed at the L4 level using a total volume of 30 mL local anesthetic solution consisting of bupivacaine, lidocaine, and normal saline. After confirmation of adequate sensory block, propofol sedation was titrated to maintain a BIS value between 80 and 90.
Locations (1)
Duzce University Faculty of Medicine
Düzce, Düzce, Turkey (Türkiye)