Active — Not RecruitingNot Applicable

Fractionated Spinal Anesthesia With Combined Isobaric and Hyperbaric Bupivacaine for Elderly Hip Fracture Patients

Egypt108 participantsStarted 2025-12-20

Plain-language summary

This prospective randomized controlled study will be conducted to compare the effect of fractionated SA using isobaric and hyperbaric bupivacaine with fractionated SA using hyperbaric bupivacaine and the conventional SA on hemodynamic instability in orthogeriatric patients undergoing hip fracture surgeries.

Who can participate

Age range65 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Elderly patients of both gender aged 65 years or more with American Society of Anesthesiologists (ASA) Physical Status I-III, who were scheduled for hip fracture surgeries under Spinal anesthesia Exclusion criteria: * Patients declined to participate in the trial. * Patients on anticoagulation therapy. * Patients planned for general anesthesia. * Patients with atrial fibrillation. * Allergies or hypersensitivity to local anesthetic drugs. * Spinal cord deformities. * Infection that contraindicate SA. * Preoperative motor and sensory deficits

What they're measuring

Incidence of intraoperative hypotension

Timeframe: MAP will be measured intraoperatively before spinal anesthesia (SA), immediately after administering SA and subsequently at regular intervals 5, 10, 20, 30, 60, 75, 90 minutes, and then every 30 minutes till the end of surgery.

Trial details

NCT IDNCT07288996

SponsorTanta University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2026-06-01

View on ClinicalTrials.gov More Spinal Anesthesia in Elderly Patients trials