Minidose spinal anaesthesia for hip hemiarthroplasty

• Research type

  Research Study

• Full title

  An observational study of the haemodynamic effects of unilateral, minidose bupivacaine-fentanyl spinal anaesthesia for uncemented hip hemiarthroplasty in elderly, unwell patients.

• IRAS ID

  11242

• Sponsor organisation

  Clinical Investigation & Research Unit

• Eudract number

  2008-006189-27

• ISRCTN Number

  n/a

• Clinicaltrials.gov Identifier

  n/a

• Research summary

  Low blood pressure is a common occurrence after spinal anaesthesia given to elderly patients for surgical repair of hip fracture, which can lead to heart and brain problems.There are 2 main ways of managing low blood pressure: treatment and prevention. Treatment involves the administration of intravenoufluds, drugs or both. Prevention involves altering the way spinal anaesthesia is administered. 2 main methods that can be used: reduce the amount of spinal anaesthetic given, and try to selectively anaesthetise the affected hip rather than both hips. We have found in an audit that there seems to be a direct relationship between the volume of local anaesthetic and the fall in blood pressure. This research has been designed to asses this effect in a more accurate and scientific manner.

• REC name

  South Central - Hampshire A Research Ethics Committee

• REC reference

  08/H0502/160

• Date of REC Opinion

  22 Dec 2008

• REC opinion

  Favourable Opinion