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NCT Number: NCT07520695

Delayed Supine Position Post-Spinal Compared With Immediate Supine Position in Geriatric Patients

Background: Geriatric patients undergoing femoral neck of fracture (FNOF) repair are highly susceptible to spinal anesthesia-induced hypotension. This study examines whether a two-minute delayed supine position after spinal injection reduces this risk. Methods: Ninety patients aged ≥65 years undergoing FNOF surgery under spinal anesthesia were randomized into two groups. Group D remained seated for two minutes post-spinal injection; Group I was positioned supine immediately. Hemo-dynamic parameters, recorded as primary outcomes, other parameters like vasopressor use, maximum sensory level achieved, duration of surgery, and fluid administration as secondary outcomes.

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Key information

Conditions

we Study the Effect of Keeping the Patient Supine 2 Minutes After Spinal Anesthesia in Geriatric Groups Behavior Deception Social Behavior

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Sohar Hospital

Sohar, Oman

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Geriatric patients (aged 65 years and above) scheduled for surgical fixation of fracture neck of femur under spinal anesthesia were eligible for inclusion

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Exclusion criteria

  • Contraindications to spinal anesthesia (e.g., coagulopathy, local infection, etc.).
  • Haemodynamic instability or baseline systolic BP < 90 mmHg.
  • Allergy to study medications.
  • ASA 4.
  • Morbidly obese patients (BMI>40).

Treatment and study plan

2 minutes setting post spinal anesthesia

Procedure

impact of keeping the patient setting 2 minutes after spinal anesthesia on blood pressure in geriatric patients

immediate supine position

Procedure

we put patient in supine position after given spinal immediately

Primary outcomes

  1. Incidence of hypotension after spinal anesthesia in both groups

    Time frame: Postprocedural for 2 hours

    Hypotension is defined by systolic blood pressure below 90 mmHg or mean arterial BP less than 25% of the basal

Sponsors and collaborators

Lead sponsor

Sohar Hospital

Other Gov

Registry information

Official study title

Impact of Two Minutes Delayed Supine Position Post-Spinal Compared With Immediate Supine Position in Geriatric Patients Undergoing Repair of Fracture Neck of Femur: A Randomized Controlled Trial

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Apr 9, 2026
Registry last updated
Apr 9, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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