Ultrasound in Evaluation of Preoperative Fluid Management of Hip Fracture Surgery Patients

NCT05916599 | Unknown

• 1 other identifier: 138
• Study Type: observational
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

Goal directed fluid therapy is a new standard surgical procedure which is successful in patients undergoing hip revision arthroplasty, There has been a reduction of postoperative complications, most importantly surgery with a decrease inbleeding, as well as in hospital and intensive care stays it is related. The aim of this study is to evaluate effectiveness of pulmonary ultrasound score and vena cava collapse index measurements in the patients undergoing hip surgery under spinal anesthesia and relation with peroperative fluid management.

Conditions

Lung Edema; Hip Fractures

Outcome Measures

Primary Outcomes (1)

• comparison of groups for change of vena cava inferior collapsibility index in 4 time frames

  vena cava inferior collapsibility index will be measured at 4 time frames by using ultrasound,changes over 20% will be considered as significant

  vena cava inferior collapsibility index measurements will be done in 4 time frames.1.just before spinal anesthesia, 2. at fifth minute of surgery ,3. at 15. minute of surgery, 4 immediatelyafter surgery

Secondary Outcomes (1)

• comparison of groups for pulmonary edema

  measurements will be done in 4 time frames.1.just before spinal anesthesia, 2. at fifth minute of surgery ,3. at 15. minute of surgery, 4immediately after surgery

Study Arms (2)

Goal directed

The inferior vena cava collapse index IVC CI and lung ultrasound score (LUS) measurements and goal directed fluid therapy will be done.Patients in the group will be started with fluid replasment at an hourly rate of 2ml/kg/h and with ultrasound measurement the infused fluid will be evaluated and regulated.

Device: ultrasound

conventional

. Group applying zero balance liquid therapy to patients with conventional methods is planned. Crystalloid liquid infusion at a rate of 2ml/kg/hour will be administered to the patients in the group additional fluid replacement will be decided by monitoring bleeding and urinary output, zero balance is aimed at patients.

Interventions

ultrasound DEVICE

a device which is used in intensive care units,

Goal directed

Eligibility Criteria

• Age: 65 Years - 110 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients undergoing hip surgery under spinal anesthesia

You may qualify if:

• Patients over the age of 65 who will undergo hip surgery
• ASA I-II-III patients

You may not qualify if:

• Patients under the age of 65
• Patients with ASA IV-V
• Patients with BMI\>above 35
• Patients with an Lus score of 15 and above
• Patients who have not undergone spinal anesthesia

Sponsors & Collaborators

• Gaziosmanpasa Research and Education Hospital: lead

Study Sites (1)

Gaziosmanpasa Education and Research Hospital

Istanbul, Gaziosmanpaşa, 34255, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Pulmonary Edema; Hip Fractures

Interventions

Ultrasonography

Condition Hierarchy (Ancestors)

Lung Diseases; Respiratory Tract Diseases; Femoral Fractures; Fractures, Bone; Wounds and Injuries; Hip Injuries; Leg Injuries

Intervention Hierarchy (Ancestors)

Diagnostic Imaging; Diagnostic Techniques and Procedures; Diagnosis

Study Officials

• zuhal çavuş, MD

  gaziosmanpasa TREH

  PRINCIPAL INVESTIGATOR

Central Study Contacts

zuhal Çavuş, MD

CONTACT

05326323166; zuhalcavus74@gmail.com

dondu moralar, prof MD

CONTACT

dondugencm@gmail.com

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: head of anesthesiology

Study Record Dates

• First Submitted: May 3, 2023
• First Posted: June 23, 2023
• Study Start: January 3, 2023
• Primary Completion: August 9, 2023
• Study Completion: September 12, 2023
• Last Updated: June 23, 2023

Record last verified: 2023-06

Locations

TU (1)