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Literature DB >> 24721364

Special anesthetic consideration for the patient with a fragility fracture.

Jean-Pierre P Ouanes¹, Vicente Garcia Tomas², Frederick Sieber³.

Abstract

In this article, an overview is presented of perioperative management of the patient with a fragility fracture, including preoperative risk stratification and optimization, anesthesia risks, anesthesia options, and postoperative pain management. Issues of preoperative evaluation that are of concern for the anesthesiologist because of their direct effect on intraoperative care are discussed. A team interdisciplinary approach and good communication between specialties involved in care of elderly surgical patients is important for optimal patient outcomes and to avoid perioperative complications. Cooperation between anesthesiology and medicine is indispensable in reaching a reasonable consensus regarding preoperative evaluation and should occur on a case-by-case basis.

Entities: Chemical Disease Gene Species

Keywords: Elderly; Epidural anesthesia; Fragility fractures; General anesthesia; Orthopedic fractures; Regional anesthesia

Mesh：

Year: 2014 PMID： 24721364 PMCID： PMC4050372 DOI： 10.1016/j.cger.2014.01.014

Source DB: PubMed Journal: Clin Geriatr Med ISSN： 0749-0690 Impact factor: 3.076

30 in total

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8. Cardioprotective properties of sevoflurane in patients undergoing coronary surgery with cardiopulmonary bypass are related to the modalities of its administration.

Authors: Stefan G De Hert; Philippe J Van der Linden; Stefanie Cromheecke; Roel Meeus; Anne Nelis; Veronique Van Reeth; Pieter W ten Broecke; Ivo G De Blier; Bernard A Stockman; Inez E Rodrigus
Journal: Anesthesiology Date: 2004-08 Impact factor: 7.892

9. Effects of propofol, desflurane, and sevoflurane on recovery of myocardial function after coronary surgery in elderly high-risk patients.

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Journal: Anesthesiology Date: 2003-08 Impact factor: 7.892

Special anesthetic consideration for the patient with a fragility fracture.

Review 1. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials.

Review 2. Postoperative cognitive function as an outcome of regional anesthesia and analgesia.

3. Major complications of regional anesthesia in France: The SOS Regional Anesthesia Hotline Service.

Review 4. 2002 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada.

5. Femoral-sciatic nerve blocks for complex outpatient knee surgery are associated with less postoperative pain before same-day discharge: a review of 1,200 consecutive cases from the period 1996-1999.

6. Acute and nonacute complications associated with interscalene block and shoulder surgery: a prospective study.

7. Economics of nerve block pain management after anterior cruciate ligament reconstruction: potential hospital cost savings via associated postanesthesia care unit bypass and same-day discharge.

8. Cardioprotective properties of sevoflurane in patients undergoing coronary surgery with cardiopulmonary bypass are related to the modalities of its administration.

9. Effects of propofol, desflurane, and sevoflurane on recovery of myocardial function after coronary surgery in elderly high-risk patients.

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