Anaesthetic aspects in the treatment of fragility fracture patients. Issue 8 (August 2018)

• Record Type: Journal Article
• Authors: White, S.M.; Foss, N.B.; Griffiths, R
• Is Part Of: Injury. Volume 49:Issue 8(2018)
• Page Start: 1403
• Page End: 1408
• Publication Date: 2018-08
• Subjects: Key words -- Hip fractures, anaesthesia -- Hip fractures, epidemiology -- Hip fractures, mortality; Wounds and injuries -- Surgery -- Periodicals; Accidents -- Periodicals; Wounds and Injuries -- surgery -- Periodicals; Lésions et blessures -- Chirurgie -- Périodiques; Electronic journals; Electronic journals; 617.1
• DOI: 10.1016/j.injury.2018.06.027
• Languages: English
• ISSNs: 0020-1383

Abstract

Abstract: As longevity increases globally, the number of older, frailer, comorbid patients requiring fragility fracture surgery will increase. Fundamentally, anaesthesia should aim to maintain these patients' pre-fracture cognitive and physiological trajectories and facilitate early (ie day 1) postoperative recovery. This review describes the 10 general principles of anaesthesia for fragility fracture surgery that best achieve these aims: multidisciplinary care, 'getting it right first time', timely surgery, standardisation, sympathetic anaesthesia, avoiding ischaemia, sympathetic analgesia, re-enablement, data collection and training.