Caudal Block & Hip Fracture Surgery in Anticoagulated Patient
Study Details
Study Description
Brief Summary
Hip fractures are common in elderly patients, and require surgery. Many elderly patients take anticoagulants for vasculopathy treatment. Anticoagulation precludes the use of neuraxial anesthesia because of the risk of epidural bleeding. Caudal anesthesia may be a safe and effective technique in anticoagulated emergency surgical patients.
Quantitative analysis of prospective clinical data. Evaluation of caudal anesthesia efficacy for hip fracture surgery. Analysis of perioperative outcome, and postoperative course.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Hip or femoral neck fractures are common in elderly patients. These fractures require surgical repair. Many elderly patients take regular anticoagulant therapy for vasculopathy. Anticoagulation precludes the use of spinal or epidural anesthesia because of the risk of epidural bleeding. Caudal anesthesia is another form of neuraxial anesthesia that may be safe and effective for hip fracture surgery in anticoagulated elderly patients.
Quantitative analysis of prospective clinical data. It is an evaluation of caudal anesthesia efficacy for hip fracture surgery. This is an analysis of intraoperative analgesia, perioperative outcome, postoperative course, and complications.
Study Design
Outcome Measures
Primary Outcome Measures
- Pain score, objective measurement using the validated Numeric Pain Rating scale [1 month]
Pain score, using the Numeric Pain Rating scale of 0 to 10, low scores indicate less pain, high scores indicate worse pain
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patients with fractured hip or femoral neck who undergo surgical repair
Exclusion Criteria:
- Patients who refuse surgical repair
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Salem Anaesthesia Pain Clinic | Surrey | British Columbia | Canada | V3S 7J1 |
Sponsors and Collaborators
- Salem Anaesthesia Pain Clinic
Investigators
- Principal Investigator: Olu Bamgbade, MD,FRCPC, Salem Anaesthesia Pain Clinic
Study Documents (Full-Text)
None provided.More Information
Publications
- Salem2017 Caudal Blk NOF Surg