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.
| Original language | English |
|---|---|
| Journal | Injury |
| Volume | 49 |
| Issue number | 8 |
| Pages (from-to) | 1403-1408 |
| Number of pages | 6 |
| ISSN | 0020-1383 |
| DOIs | |
| Publication status | Published - Aug 2018 |
Keywords
- Anesthesia, Conduction
- Anesthesia, General
- Hip Fractures/physiopathology
- Humans
- Orthopedic Procedures/methods
- Osteoporotic Fractures/physiopathology
- Pain, Postoperative
- Postoperative Complications
- Practice Guidelines as Topic
- Quality of Health Care
- Recovery of Function/physiology