Dexmedetomidine vs Propofol Sedation Reduces Postoperative Delirium in Patients Receiving Hip Arthroplasty.

Dexmedetomidine vs Propofol Sedation Reduces Postoperative Delirium in Patients Receiving Hip Arthroplasty.

With blocks of lumbar and lumbar plexus, we can reduce the intravenous anesthetics usage. To offer an satisfied surgery process for patients, a proper sedation is necessary. So in this study, we want to investigate the influence of two different sedative drugs on outcomes of patients received hip replacement surgery .

Inclusion Criteria:

• 65 years or older and undergoing hip fracture repair

Exclusion Criteria:

• Patients with severe cognitive impairment (MMSE score, <15)
• Preoperative delirium as determined by Confusion Assessment Method
• Contraindications to local anesthesia
• Prior hip surgery
• Mental or language barriers that would preclude data collection
• Severe congestive heart failure (NewYork Heart Association class IV)
• Severe chronic obstructive pulmonary disease (Global Initiative for Chronic Obstructive Lung Disease guidelines, stage III-IV)