Hip fractures are a common, morbid, and costly event among older adults. Patients with hip fractures are typically operated on within 24 hours of admission. However, they typically present multiple comorbidities that may not be easily controlled before the needed hip surgery.
For these reasons, spinal anesthesia is usually the best anesthetic option, where not contraindicated by anticoagulation or the presence of neurologic symptoms. Expertly performed spinal anesthesia results in a more stable perioperative course than general anesthesia. More importantly, spinal anesthesia decreases inpatient mortality and pulmonary complications (Neuman MD, Anesthesiology 2012, Vol. 117, 72-92).
In this video, Dr. Hadzic describes NYSORA’s standardized anesthetic management of patients with hip fractures, which consists of a suprainguinal fascia iliaca block, and low-dose isobaric spinal with bupivacaine with the paramedian technique.
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Disclaimer:
Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publisher have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's RU-vid channel is accurate.
9 ноя 2021