Delayed Supine Position Post-Spinal Compared With Immediate Supine Position in Geriatric Patients

NCT07520695 | Completed Phase 2 DMC

• 1 other identifier: MoH/CSR/25/29207
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Geriatric patients undergoing femoral neck of fracture (FNOF) repair are highly susceptible to spinal anesthesia-induced hypotension. This study examines whether a two-minute delayed supine position after spinal injection reduces this risk. Methods: Ninety patients aged ≥65 years undergoing FNOF surgery under spinal anesthesia were randomized into two groups. Group D remained seated for two minutes post-spinal injection; Group I was positioned supine immediately. Hemo-dynamic parameters, recorded as primary outcomes, other parameters like vasopressor use, maximum sensory level achieved, duration of surgery, and fluid administration as secondary outcomes.

Conditions

we Study the Effect of Keeping the Patient Supine 2 Minutes After Spinal Anesthesia in Geriatric Groups

Keywords

supine, post-spinal, geriatric, delayed

Outcome Measures

Primary Outcomes (1)

• Incidence of hypotension after spinal anesthesia in both groups

  Hypotension is defined by systolic blood pressure below 90 mmHg or mean arterial BP less than 25% of the basal

  Postprocedural for 2 hours

Study Arms (2)

putting patients immediately in a supine position after spinal anesthesia

ACTIVE COMPARATOR

Procedure: immediate supine position

keeping the patient 2 minutes setting after spinal anesthesia

EXPERIMENTAL

Procedure: 2 minutes setting post spinal anesthesia

Interventions

immediate supine position PROCEDURE

we put patient in supine position after given spinal immediately

putting patients immediately in a supine position after spinal anesthesia

2 minutes setting post spinal anesthesia PROCEDURE

impact of keeping the patient setting 2 minutes after spinal anesthesia on blood pressure in geriatric patients

keeping the patient 2 minutes setting after spinal anesthesia

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may not qualify if:

• Contraindications to spinal anesthesia (e.g., coagulopathy, local infection, etc.).
• Haemodynamic instability or baseline systolic BP \< 90 mmHg.
• Allergy to study medications.
• ASA 4.
• Morbidly obese patients (BMI\>40).

Sponsors & Collaborators

• Sohar Hospital: lead

Study Sites (1)

Sohar Hospital

Sohar, Oman

Location

MeSH Terms

Conditions

Deception

Condition Hierarchy (Ancestors)

Social Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant prof

Study Record Dates

• First Submitted: March 16, 2026
• First Posted: April 9, 2026
• Study Start: January 1, 2025
• Primary Completion: January 1, 2026
• Study Completion: January 1, 2026
• Last Updated: April 9, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

OM (1)