Surgical Treatment of Hip Fractures Under Peripheral Regional Anesthesia

Surgical Treatment of Proximal Femoral Fractures Under Peripheral Regional Anesthesia. A Prospective Pilot Study

The study investigates whether treatment of proximal femoral fractures is possible using a peripheral regional anesthesia technique.

The study investigates whether treatment of proximal femoral fractures is possible using a peripheral regional anesthesia technique.

After positioning on the non-fractured side, a double injection technique is used (dual guidance concept: nerve stimulation and sonography).

The injections are performed parasacrally (blockade of the sacral plexus under the piriformis muscle) and lumbar paravertebrally (psoas compartment block and transmuscular quadratus lumborum block). Per block 20 ml ropivacaine 0.375% is administered (total dose: 225mg ropivacaine).

The study examines the success rate (rate of successfully performed nerve blockade; need for supplemental medication: sufentanil and/or propofol; conversion rate to general anesthesia), circulatory stability (need for application of ephedrine or norepinephrine) and side effects.

Inclusion Criteria:

• proximal femoral fracture
• older then 18 years
• written informed consent

Exclusion Criteria:

• local or systematic inflammation
• allergy to ropivacaine
• participate in other studies
• body mass index over 35
• periprosthetic fractures