Can a One-Sided spinal block keep blood pressure steadier during hip surgery?

NCT ID NCT07789795

What the study statuses mean

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Recruitment status, easiest to join first

Recruiting now This study
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
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 Results may not be published yet.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This status has not been confirmed recently, so it may be out of date.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 27, 2026 · Last updated Aug 28, 2026 · Updated 1 time

Summary

This trial tests whether numbing only one side of the body with spinal anesthesia keeps blood flow more stable during hip replacement surgery in people aged 65 and older. Half of the 74 participants will receive a one-sided spinal block, and the other half will receive the standard two-sided block. Researchers will continuously measure heart output, blood pressure, and other circulation markers during surgery, and track how much fluid and blood pressure medication each patient needs. The goal is to see if the one-sided approach reduces strain on the heart and lowers the need for extra support during the operation.

What this could mean

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

Active substance
Unilateral spinal anesthesia compared with bilateral spinal anesthesia
What this could lead to
If unilateral spinal anesthesia proves more stable, it could become the preferred method for hip replacement in older adults, reducing complications from blood pressure drops.
What could go wrong
The trial is small and early, so results may not apply to all patients. Unilateral anesthesia may not always provide enough coverage, and any spinal block carries risks like low blood pressure or headache.

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.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

About 74 people

The number the study aims to enrol. It can still change while the study runs.

Started

May 2026

Expected to finish

Aug 2026

An estimate. End dates often move.

Lead sponsor

A government agency

The lead sponsor is a government body.

Who can take part

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

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: 1. Adults aged 65 years and older. 2. Patients scheduled for elective total hip arthroplasty. 3. Patients with an American Society of Anesthesiologists (ASA) physical status classification of II, III, or IV. 4. Patients with a Glasgow Coma Scale (GCS) score of 13-15 who are conscious and able to cooperate. 5. Patients with suitable peripheral arterial anatomy for PRAM monitoring. 6. Patients who provide written informed consent to participate in the study. 7. Patients without any clinical contraindication to spinal anesthesia. - Exclusion Criteria: 1. Glasgow Coma Scale (GCS) score \<13. 2. Age below 65 years. 3. History of previous major neurosurgical intervention. 4. Anatomical abnormality, vascular defect, or infection at the site intended for arterial catheter placement for PRAM monitoring. 5. Severe spinal deformity (e.g., severe scoliosis, previous spinal fusion surgery, or spinal trauma). 6. Current anticoagulant therapy or coagulopathy (INR \>1.5 or platelet count \<75,000/mm³). 7. Presence of skin infection or systemic infection/sepsis. 8. Severe hypovolemia or decompensated cardiac disease in which spinal anesthesia is contraindicated. 9. Known allergy or hypersensitivity to local anesthetics or sedative agents. 10. Local infection or wound at the planned spinal puncture site. 11. Clinical contraindication to spinal anesthesia (e.g., increased intracranial pressure, septicemia, or severe hypotension). -

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How to take part

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Contacts and locations

Locations

  • Kayseri City Hospital

    RECRUITING

    Kayseri, Kayseri, Turkey (Türkiye)

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