Peripheral Nerve Block vs Spinal Anesthesia in Patients With Femur Fracture
Status:
Active, not recruiting
Trial end date:
2024-06-15
Target enrollment:
Participant gender:
Summary
Femur Fractures (PF) are nowadays one of the main social and health problems in
industrialized countries. PF are defined as crack or break of the proximal femur and they
represent an important cause of morbidity and mortality in elderly population.
The main prospective and retrospective studies do not show the superiority of subarachnoid
anesthesia over general anesthesia in terms of 30-day mortality and post-operative
complications, however they always recommend the execution of PeripheralNerve Blocks (PNB).
Loco-regional anesthesia plays a fundamental role in the treatment of peri-operative pain
assuring better hemodynamic stability and has already fully entered national and
international pain management protocols, because it allows faster recovery times with a
reduction in the use of intravenous analgesic drugs in particular opioids and consequently a
faster discharge and a reduction in peri-operative complications and the costs of assistance.
The aim of our study will be to propose an anesthetic approach based on PNB that could be
particularly suitable for frail patients especially when Neuroaxial Anesthesia (NA) is not
feasible due to difficulty to position the patient or to the withdrawal time of anticoagulant
or antiplatelet therapies.