CompletedPhase 2

Delayed Supine Position Post-Spinal Compared With Immediate Supine Position in Geriatric Patients

Oman90 participantsStarted 2025-01-01

Plain-language summary

Background: Geriatric patients undergoing femoral neck of fracture (FNOF) repair are highly susceptible to spinal anesthesia-induced hypotension. This study examines whether a two-minute delayed supine position after spinal injection reduces this risk. Methods: Ninety patients aged ≥65 years undergoing FNOF surgery under spinal anesthesia were randomized into two groups. Group D remained seated for two minutes post-spinal injection; Group I was positioned supine immediately. Hemo-dynamic parameters, recorded as primary outcomes, other parameters like vasopressor use, maximum sensory level achieved, duration of surgery, and fluid administration as secondary outcomes.

Who can participate

Age range60 Years

SexALL

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Inclusion Criteria: Geriatric patients (aged 65 years and above) scheduled for surgical fixation of fracture neck of femur under spinal anesthesia were eligible for inclusion \- Exclusion Criteria: * Contraindications to spinal anesthesia (e.g., coagulopathy, local infection, etc.). * Haemodynamic instability or baseline systolic BP \< 90 mmHg. * Allergy to study medications. * ASA 4. * Morbidly obese patients (BMI\>40).

What they're measuring

Incidence of hypotension after spinal anesthesia in both groups

Timeframe: Postprocedural for 2 hours

Trial details

NCT IDNCT07520695

SponsorSohar Hospital

Sponsor typeOTHER_GOV

Study typeINTERVENTIONAL

Primary completion2026-01-01

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