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March 1, 1989Anesthesia & Analgesia

Surgical Repair of Hip Fractures Using Continuous Spinal Anesthesia

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Why the study?

Does hypobaric tetracaine compared to bupivacaine provide comparable anesthetic and hemodynamic effects in geriatric patients undergoing surgical repair of hip fractures?

Population

30 geriatric patients undergoing surgical repair of hip fractures

Comparison

Hypobaric 0.25% tetracaine administered via… vs Hypobaric 0.25% bupivacaine administered via…

Design

RCT, double-blind

Authors

EGElisabeth F. Van GesselUniversity of GenevaAFAlain ForsterGenesis Medical CenterZGZdravko GamulinUniversity Hospital of Geneva

Discussion

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Implication

Supports use of either hypobaric agent in geriatric hip fracture repair; confirms comparable analgesia duration and hemodynamics.

Structured PICO

Does hypobaric tetracaine compared to bupivacaine provide comparable anesthetic and hemodynamic effects in geriatric patients undergoing surgical repair of hip fractures?

P
Population
30 geriatric patients undergoing surgical repair of hip fractures
I
Intervention
Hypobaric 0.25% tetracaine (3 ml, 7.5 mg) administered via continuous spinal anesthesia
C
Comparator
Hypobaric 0.25% bupivacaine (3 ml, 7.5 mg) administered via continuous spinal anesthesia
O
Outcome
Sensory level, duration of analgesia, motor blockade, and hemodynamic effectssurrogate

Hypobaric solutions of both tetracaine and bupivacaine are suitable and produce comparable anesthetic and hemodynamic effects for surgical repair of hip fractures in geriatric patients.

Cite This Study

Gessel et al. (1989) studied this question.

synapsesocial.com/papers/6a86ec893f44447e627cb848https://doi.org/10.1213/00000539-198903000-00016
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Spinal Anesthesia Using Single Injection Small-Dose Bupivacaine Versus Continuous Catheter Injection Techniques for Surgical Repair of Hip Fracture in Elderly Patients2006 · 112 citations
  2. 2Low dose of isobaric bupivacaine provides lower incidence of spinal hypotension for hip surgery in elderly patients2014 · 4 citations
  3. 3Comparison of two doses of hypobaric bupivacaine in unilateral spinal anesthesia for hip fracture surgery: 5 mg versus 7.5 mg2017 · 9 citations
  4. 4Low‐dose bupivacaine with sufentanil prevents hypotension after spinal anesthesia for hip repair in elderly patients2004 · 98 citations
  5. 5Impact of bupivacaine dose on haemodynamics in elderly hip surgery: a randomized controlled trial2026