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Идёт набор NCT07295184

Effect of Rebound Pain on Postoperative Intensive Care Delirium in Patients Undergoing Hip Surgery With Peripheral Nerve Block

— Наблюдательное Rebound Pain Impact After Hip Surgery With Nerve Block

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Peripheral nerve block applied, Only multimodal analgesia applied.
Кому может быть актуально
Состояния в реестре: Rebound Pain Impact After Hip Surgery With Nerve Block. Базовые параметры: 18 лет — 80 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Turkey (Türkiye)
Следующий шаг
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Официальное название

Effect of Rebound Pain on Postoperative Intensive Care Delirium in Patients Undergoing Hip Surgery With Peripheral Nerve Block: A Prospective Observational Study

Обзор

Postoperative delirium is a significant and commonly encountered complication in patients undergoing hip surgery, particularly among the elderly. Postoperative delirium is associated with serious consequences, including prolonged intensive care unit stay, increased complication rates, higher mortality risk, and rising healthcare costs. The incidence of Postoperative delirium after hip fracture surgery has been reported to range between 13% and 55.9%, indicating a substantial clinical burden. Effective postoperative pain control is critical not only for maintaining quality of life but also for preserving cognitive well-being. In this context, peripheral nerve blocks are frequently used for pain management following hip surgery.

Подробное описание

Postoperative delirium is a significant and commonly encountered complication in patients undergoing hip surgery, particularly among the elderly. Postoperative delirium is associated with serious consequences, including prolonged intensive care unit stay, increased complication rates, higher mortality risk, and rising healthcare costs.

The incidence of Postoperative delirium after hip fracture surgery has been reported to range between 13% and 55.9%, indicating a substantial clinical burden.

Effective postoperative pain control is critical not only for maintaining quality of life but also for preserving cognitive well-being. In this context, peripheral nerve blocks are frequently used for pain management following hip surgery.

In recent years, the Pericapsular Nerve Group block and the supra-inguinal fascia iliaca block have gained attention as regional anesthesia techniques that provide effective analgesia by targeting the nerve branches innervating the anterior capsule of the hip joint.

Вмешательства

  • Другое Peripheral nerve block applied
    Pericapsular Nerve Group block and the supra-inguinal fascia iliaca block applied
  • Другое Only multimodal analgesia applied
    Postoperative analgesia (paracetamol 1000 mg intravenously every 8 hours and celecoxib 200 mg orally every 12 hours)

Первичные конечные точки

  • Incidence of delirium [Срок оценки: 72 hours]

Критерии участия

Критерии включения

  • Patients aged 18-80
  • ASA I-III risk groups
  • Undergoing elective hip surgery

Критерии исключения

  • Preoperative history of delirium, dementia, or major neurological disease
  • Present cognitive impairment or severe hearing or visual impairment that could affect pain assessment
  • Development of mechanical ventilation requirement in the intensive care unit; Need for bilateral hip surgery
  • Failure to provide meaningful analgesia after block application due to surgical pain outside the scope of the block
  • Patient's inability to complete the pain diary during postoperative follow-up;
  • Urgent hip surgery
  • Voluntary failure to give consent or request to withdraw from the study.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения
Случай-контроль

Центры проведения

Turkey (Türkiye) · 1 центр
  • Konya City Hospital — Konya

Идентификаторы

NCT: NCT07295184 · Rebound pain

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗