Abstract | OBJECTIVES: The aim was to compare the feasibility of ultrasound-guided multiple nerve blocks (fascia iliaca compartment block+sacral plexus block+superior cluneal nerve block) with general anesthesia in geriatric hip fracture patients. METHODS: Ninety-four patients were randomly divided into 2 groups: group N received ultrasound-guided multiple nerve blocks and group G received general anesthesia. Primary outcome measures included perioperative Pain Threshold Index (PTI) and Numerical Rating Scale. Secondary outcome measures comprised the following: (1) perioperative Delirium Index and Short Portable Mental Status Questionnaire; (2) perioperative Comfort Index; (3) perioperative opioid consumption (within 72 hours postoperatively); and (4) postoperative side effects (within 72 h postoperatively). RESULTS: Eighty-seven patients completed the study. Baseline PTI was comparable between the groups. However, intraoperative PTI was significantly lower in group N than in group G. Preoperative and postoperative Comfort Index scores were comparable between the groups. Moderate delirium (24 to 72 h postoperatively) was significantly higher than the baseline in group G. Early moderate delirium (24 h postoperatively) was significantly higher in group G than in group N. Severe delirium was comparable between the groups and within each group. High intraoperative PTI was associated with high opioid consumption. The intravenous sufentanil dose in group G was twice of that in group N. Incidence of nausea and vomiting was similar between the groups. DISCUSSION:
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Authors | Jue Gu, Eerdun Wang, Shiyun Dai, Rong Dong, Fengying Xu, Zijin Shen, Zhiyuan Wang, Xingying He |
Journal | The Clinical journal of pain
(Clin J Pain)
Vol. 37
Issue 12
Pg. 881-886
(12 01 2021)
ISSN: 1536-5409 [Electronic] United States |
PMID | 34757340
(Publication Type: Journal Article, Randomized Controlled Trial)
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Copyright | Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved. |
Chemical References |
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Topics |
- Aged
- Anesthetics
- Hip Fractures
(diagnostic imaging, surgery)
- Humans
- Nerve Block
- Pain, Postoperative
- Ultrasonography, Interventional
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