TY - JOUR
T1 - Anaesthetic aspects in the treatment of fragility fracture patients
AU - White, S M
AU - Foss, N B
AU - Griffiths, R
N1 - Copyright © 2018 Elsevier Ltd. All rights reserved.
PY - 2018/8
Y1 - 2018/8
N2 - 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.
AB - 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.
KW - Anesthesia, Conduction
KW - Anesthesia, General
KW - Hip Fractures/physiopathology
KW - Humans
KW - Orthopedic Procedures/methods
KW - Osteoporotic Fractures/physiopathology
KW - Pain, Postoperative
KW - Postoperative Complications
KW - Practice Guidelines as Topic
KW - Quality of Health Care
KW - Recovery of Function/physiology
U2 - 10.1016/j.injury.2018.06.027
DO - 10.1016/j.injury.2018.06.027
M3 - Review
C2 - 29958684
SN - 0020-1383
VL - 49
SP - 1403
EP - 1408
JO - Injury
JF - Injury
IS - 8
ER -