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Which anesthesia is safer for frail hip fracture patients?

NCT ID NCT06652334

Disease control Sponsor: Duzce University Source: ClinicalTrials.gov ↗

What the study statuses mean

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Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Aug 24, 2026 · Last updated Aug 27, 2026 · Updated 3 times

Summary

This study compares two regional anesthesia techniques—spinal anesthesia and erector spinae plane block—in critically ill adults over 65 undergoing femur fracture surgery. The goal is to see which method provides better pain control, more stable blood pressure and heart rate during surgery, and leads to shorter ICU and hospital stays, as well as fewer complications. By observing routine practice, the study aims to identify the safer and more effective option for this vulnerable group.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
Spinal anesthesia (intrathecal bupivacaine) or erector spinae plane block (local anesthetic mixture)
What this could lead to
If one method proves better, it could guide safer anesthesia choices for frail older patients, potentially reducing complications and speeding recovery after hip fracture surgery.
What could go wrong
This is a small observational study, so results may not apply broadly. Both methods carry risks like low blood pressure or nerve block complications, and the comparison may not show a clear winner.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Participants

40 people

The number who actually took part.

Started

Mar 2024

Finished

Mar 2025

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Who is studied

After the patients who meet the specified criteria are informed about the study, 40 volunteers who agree to participate and sign an informed consent form will be included in the study. Volunteers will be randomized into 2 groups using a closed-envelope method. Group 1 will contain patients operated under spinal anesthesia, and Group 2 will contain patients operated under ESP block.

Ages

65 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Agree to participate in the study * Patients older than 65 years of age who are planning to undergo an operation for a femur fracture and who are in the ASA III and above risk group and for whom postoperative intensive care unit follow-up is foreseen * Patients who agree to be operated under regional anesthesia Exclusion Criteria: * Patients who did not want to be included in the study * Patients considered suitable for operation under general anesthesia * Patients allergic to bupivacaine * Patients with contraindications to neuraxial blockage (infection at the injection site, coagulopathy or other bleeding diathesis, severe hypovolemia, increased intracranial pressure, severe aortic stenosis, severe mitral stenosis)

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Conditions

The condition(s) this trial relates to.

agnosia Femoral Fractures

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Femoral fractures

Contacts and locations

Locations

  • Duzce University Faculty of Medicine

    Düzce, Düzce, 81000, Turkey (Türkiye)

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