Trial reportAnnals of the Royal College of Surgeons of England2026
Effectiveness of epidural anaesthesia induced by different dosages of ropivacaine combined with lidocaine in geriatric orthopaedic surgery.
Trial report in Annals of the Royal College of Surgeons of England, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis paper unravelled the effectiveness of epidural anaesthesia induced by different dosages of ropivacaine combined with lidocaine in geriatric orthopaedic surgery.
methodsElderly orthopaedic surgical patients who underwent epidural anaesthesia were allocated into three groups: Group I (0.375% ropivacaine+1% lidocaine), Group II (0.50% ropivacaine+1% lidocaine) and Group III (0.75% ropivacaine+1% lidocaine), to compare the sensory and motor blockade effects, the occurrence of cognitive function and cognitive dysfunction, and the occurrence of adverse reactions.
resultsThe onset time of sensory blockade and the appearance time of the highest plane were significantly earlier and the maintenance time of the highest plane was significantly longer, the onset time of motor blockade was notably earlier, the maintenance time of the highest plane was markedly longer, and the modified Bromage score was distinctly higher in Group II and Group III in comparison with Group I (
conclusionsEpidural anaesthesia combining 0.75% ropivacaine with 1% lidocaine in elderly orthopaedic surgical patients has a rapid onset of action, a long duration of anaesthesia maintenance, a low overall impact on cognitive function, and good medication safety.
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