Importance of fasting abbreviation and analgesia in the satisfaction and recovery of elderly patients with hip and femur fractures. retrospective study with 1,001 patients

Background and objectives: There are several ways to assess patient satisfaction, as it is a standard indicator of the quality care provided. The aim this study was evaluate whether abbreviation fasting with 200 ml CHO, intake same beverage in PACU, return oral feeding ward, postoperative analgesia can improve comfort satisfaction anesthesia elderly patients. hip femur fracture. Methods: A retrospective trial carried out Brazilian public health hospital (SUS), 1,001 patients physical status ASA I-III submitted fracture surgery. following items were evaluated: preoperative time, evaluation thirst hunger upon arrival operating room, time CHO administration reintroduction at moment, degree anesthetic conduct, early feeding. assessment performed YES NO answers regarding pre-anesthetic visit, abbreviation, use refeeding analgesia. Family members also asked immediately without intravenous hydration going through ICU. Results: All had between 1:20 h 4:00 h. None reported being thirsty when they arrived against only 26 reporting hungry. dextrinomaltose PACU ranged from 20 minutes 5:45 h, ward 4 8:15 Analgesia lumbar plexus block neurostimulator levobupivacaine before or after providing mean 22±4 minimum 13 maximum 34 able be discharged on second day. Conclusion: This clearly shows that hospitalized elderly, liberal surgery better an easy practical way increase outcomes.