Spinal Versus General Anesthesia on Postoperative Pulmonary Complications

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorTongji Hospital

About this trial

The objective of this study was to investigate the difference in postoperative pulmonary complications (PPCs) between spinal anesthesia and general anesthesia in patients undergoing delayed hip surgery.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients ≥ 65 years old

ASA Class I ~ III

Surgical repair of femoral neck, intertrochanteric or subtrochanteric fractures

The time from diagnosis to surgery is more than 48 hours

Disqualifiers

Unable to walk about 3 meters or across a room without assistance before the fracture

Emergency surgery

Congestive heart failure, asthma, anemia (Hb < 90 g/L), hypoalbuminemia (ALB < 35g/L)

Abnormal coagulation function

Trial design

Design model

Parallel

Treatments tested in this trial

  • spinal anesthesia

    Procedure/Surgery

    An intrathecal anesthetic technique.

  • general anesthesia

    Procedure/Surgery

    An intravenous (combined with inhalation) anesthetic technique.

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: spinal anesthesiaExperimental treatment 1 intervention
Group B: general anesthesiaExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Arterial partial pressure of oxygen, PaO2

PaO2 was measured by arterial blood gas analysis

Time frame
30 minutes after surgery

Secondary outcomes

1

Arterial partial pressure of oxygen, PaO2

PaO2 was measured by arterial blood gas analysis

Time frame
30 minutes before surgery
2

Forced vital capacity, FVC

FVC was measured by Spirometer (SP70B)

Time frame
30 minutes before surgery; 30 minutes after surgery; 24 hours after surgery
3

Forced expiratory volume in 1 second, FEV1

FEV1 was measured by Spirometer (SP70B)

Time frame
30 minutes before surgery; 30 minutes after surgery; 24 hours after surgery
4

Peak expiratory flow, PEF

PEF was measured by Spirometer (SP70B)

Time frame
30 minutes before surgery; 30 minutes after surgery; 24 hours after surgery

Other outcomes

1

Adverse outcomes

Documented side effects associated with the intervention by an unwitting third party

Time frame
up to one month

Sponsors and contacts

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