Modernising Hip Fracture Anaesthesia
نویسنده
چکیده
Hip fracture carries a 30-day mortality of around 8% in the United Kingdom. This figure has remained relatively unchanged despite modern developments in anaesthetic technique. These range from improvements in perioperative analgesia and mortality scoring systems, changes to intra-operative anaesthetic technique and strategies to reduce the requirement for blood transfusion. In this article, we review the current literature on the perioperative management of patients undergoing hip fracture surgery including some of the current controversies.
منابع مشابه
General versus regional anaesthesia for hip fracture surgery: a meta-analysis of randomized trials.
Hip fracture surgery is common and the population at risk is generally elderly. There is no consensus of opinion regarding the safest form of anaesthesia for these patients. We performed a meta-analysis of 15 randomized trials that compare morbidity and mortality associated with general or regional anaesthesia for hip fracture patients. There was a reduced 1-month mortality and incidence of dee...
متن کاملPreviously undiagnosed aortic stenosis revealed by auscultation in the hip fracture population--echocardiographic findings, management and outcome.
The 2001 Report of the National Confidential Enquiry into Perioperative Deaths recommended that an echocardiogram should be performed on patients with aortic stenosis prior to anaesthesia. In this study we present the patient details, management and outcome of the 272 hip fracture patients with a previously undiagnosed murmur and echocardiographically proven aortic stenosis admitted from 2001-2...
متن کاملOutcome by mode of anaesthesia for hip fracture surgery.
Large observational studies of accurate data can provide similar results to more arduous and expensive randomised controlled trials. In 2012, the National Hip Fracture Database extended its dataset to include 'type of anaesthesia' data fields. We analysed 65 535 patient record sets to determine differences in outcome. Type of anaesthesia was recorded in 59 191 (90%) patients. Omitting patients ...
متن کاملModernising Hip Fracture Surgery
Edward Dawe FRCS(Tr & Orth) BSC(Hons) Dip(SEM), Specialty Registrar Year 8, Royal Surrey County Hospital Guildford, Honorary Clinical Lecturer Brighton and Sussex Medical School, ORKSS research collaborative Piers Page MPhil MRCSEd, Specialty Registrar Year 4, Frimley Park Hospital, Honorary Clinical Lecturer Brighton and Sussex Medical School, ORKSS research collaborative Hip fracture, while a...
متن کامل