"Which anesthesia is better for hip fracture surgery patients, regional block anesthesia or general anesthesia?"
50 to 100 years old
hip fracture, anesthesia
The purpose of this study is to find out if two types of standard care anesthesia are the same or if one is better for people who have hip fractures.
Regional anesthesia - regional block: involves injection of medication to temporarily numb a specific area of the body. As part of regional anesthesia, you usually receive medications to relax you. Occasionally, regional anesthesia does not provide sufficient pain relief. In these situations, you may receive general anesthesia or intravenous pain-relieving drugs to supplement regional anesthesia.
General anesthesia: makes you unconscious and insensitive to pain through the use of medications which you may breathe or have injected. A breathing tube is usually placed into your windpipe once you are unconscious and later removed before you are fully awake. Occasionally the breathing tube will remain in place a little longer until you are strong enough to breathe independently.
Each of these anesthesia regimens is routinely used at our hospital for hip fracture surgery
This study requires
Review of medical records, discussion, consent prior to surgery Surgery with one of the two methods of anesthesia Post-operative interview with study team on Day 1, 2,3 Follow-up telephone calls: 2 months, 6 months, 1 year after surgery
Who can participate?
- Clinically or radiographically diagnosed intracapsular or extracapsular hip fracture
- Planned surgical treatment via hemiarthroplasty, total hip arthroplasty or appropriate fixation procedure
- Ability to walk 10 feet or across a room without human assistance before fracture
- Planned concurrent surgery not amenable to spinal anesthesia