[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"orthopedic-surgery-patients\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:orthopedic-surgery-patients":28},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,48],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":30,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":36,"lastUpdatePostDateStruct":37,"startDateStruct":40,"completionDateStruct":42,"leadSponsor":44,"locationsCount":47},"100642017","effect-of-asmr-and-white-noise-on-sleep-quality-in-patients-undergoing-elective-lower-extremity-surgery-100642017",false,"NCT07651228","Effect of ASMR and White Noise on Sleep Quality in Patients Undergoing Elective Lower Extremity Surgery","Effect of ASMR and White Noise on Sleep Quality in Patients Undergoing Elective Lower Extremity Surgery: A Randomized Controlled Trial","SLEEP-ASMR","Inclusion Criteria:\n\n* Age 18 years and older\n* Undergoing elective lower extremity surgery\n* Conscious and able to communicate\n* No hearing impairment or hearing aid use\n* Numeric Rating Scale (NRS) pain score of 5 or lower\n* No use of medications affecting sleep\n* Willing to participate in the study\n* Able to provide written informed consent\n\nExclusion Criteria:\n\n* Participation in another clinical study\n* Surgery due to trauma\n* Transfer to the intensive care unit during the postoperative period\n* Development of serious postoperative complications\n* Withdrawal from the study at any stage\n* Failure to comply with study procedures","ALL","18 Years",{"count":20,"type":21},90,"ESTIMATED","INTERVENTIONAL",[24],"NA","This randomized controlled trial aims to evaluate the effects of Autonomous Sensory Meridian Response (ASMR) and white noise on postoperative sleep quality in patients undergoing elective lower extremity surgery. Postoperative sleep disturbances are common after orthopedic surgery and may negatively affect pain perception, recovery, and overall patient outcomes. Participants will be randomly assigned to one of three groups: ASMR intervention, white noise intervention, or control group. Patients in the intervention groups will listen to standardized 30-minute audio recordings before sleep during the postoperative period, while the control group will receive routine care with headphones only. Sleep quality will be assessed using the Richards-Campbell Sleep Questionnaire (RCSQ). The study aims to determine which non-pharmacological intervention is more effective in improving postoperative sleep quality.",[27,28,29],"Postoperative Sleep Disturbance","Orthopedic Surgery Patients","Sleep Quality",[31,32,29,33,34],"ASMR","White Noise","Orthopedic Surgery","Lower Extremity Surgery","NOT_YET_RECRUITING","2026-06-15",{"date":38,"type":39},"2026-06-16","ACTUAL",{"date":41,"type":21},"2026-09-05",{"date":43,"type":21},"2027-01-05",{"name":45,"class":46},"muzeyyen ataseven","OTHER",1,{"id":49,"slug":50,"hasResults":11,"nctId":51,"briefTitle":52,"officialTitle":53,"acronym":4,"eligibilityCriteria":54,"healthyVolunteers":11,"sex":17,"minAge":55,"maxAge":4,"enrollmentInfo":56,"targetDuration":4,"studyType":22,"phases":58,"briefSummary":59,"conditions":60,"keywords":64,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":74,"lastUpdatePostDateStruct":75,"startDateStruct":77,"completionDateStruct":79,"leadSponsor":81,"locationsCount":4},"100638990","effect-of-lateral-decubitus-position-after-spinal-anesthesia-on-hemodynamic-stability-in-high-risk-geriatric-patients-100638990","NCT07597148","Effect of Lateral Decubitus Position After Spinal Anesthesia on Hemodynamic Stability in High-Risk Geriatric Patients","The Effects of Lateral Decubitus Positioning After Spinal Anesthesia on Hemodynamic Stability in High-Risk Geriatric Patients Undergoing Lower Extremity Orthopedic Surgery: A Prospective Randomized Controlled Trial","Inclusion Criteria:\n\n* Age 65 years or older\n* ASA physical status classification III or IV\n* Scheduled for unilateral lower extremity orthopedic surgery (hip fracture, femur fracture, knee arthroplasty, tibia-fibula fracture, or similar procedures)\n* Eligible for spinal anesthesia\n* Written informed consent obtained\n\nExclusion Criteria:\n\n* Contraindications to spinal anesthesia (coagulopathy, recent anticoagulant or antiplatelet use without adequate washout period, local infection at injection site)\n* Severe neurological disease or pre-existing motor or sensory deficit\n* Significant spinal deformity (severe scoliosis, kyphosis) or history of previous spinal surgery\n* Known allergy to local anesthetics\n* Decompensated heart failure (ejection fraction below 30%)\n* Uncontrolled hypertension (systolic blood pressure above 180 mmHg or diastolic blood pressure above 110 mmHg)\n* Emergency surgery\n* Severe hypovolemia or active bleeding\n* Advanced dementia or inability to communicate\n* Body mass index above 40 kg\u002Fm²\n* Refusal to participate","65 Years",{"count":57,"type":21},70,[24],"Spinal anesthesia is a common and preferred anesthetic technique for lower extremity orthopedic surgery in elderly patients. However, it can cause a significant drop in blood pressure (hypotension), especially in high-risk older patients with multiple medical conditions. This complication can lead to serious consequences such as heart attack, stroke, or death in vulnerable patients.\n\nThis study investigates whether keeping patients in a lateral (side-lying) position for 15 minutes after spinal anesthesia - instead of immediately turning them onto their back (supine position) - can reduce the risk of hypotension. When a patient lies on their side after receiving spinal anesthesia with a heavy (hyperbaric) local anesthetic, the medication tends to stay concentrated on the lower (operative) side, resulting in a more limited nerve block. This may help preserve blood pressure stability.\n\nWe will enroll 70 patients aged 65 years or older with high anesthetic risk (ASA physical status III or IV) scheduled for unilateral lower extremity orthopedic surgery under spinal anesthesia. Patients will be randomly assigned to two groups: one group will be kept in the lateral decubitus position (operative side down) for 15 minutes before being turned supine, and the other group will be turned supine immediately after spinal anesthesia. Blood pressure, heart rate, and oxygen saturation will be monitored continuously. The primary outcome is the incidence of hypotension during the first 15 minutes after spinal anesthesia.",[61,62,63,28],"Hypotension Drug-Induced","Spinal Aneshtesia","Geriatric",[65,66,67,68,69,70,71,72,73],"hypotension","spinal anesthesia","lateral decubitus position","geriatric","hyperbaric bupivacaine","unilateral spinal block","hemodynamic stability","orthopedic surgery","ASA III-IV","2026-05-12",{"date":76,"type":39},"2026-05-19",{"date":78,"type":21},"2026-06-01",{"date":80,"type":21},"2026-08-10",{"name":82,"class":83},"University of Health Sciences Balikesir Hospital Eduation and Research","OTHER_GOV"]