General versus spinal anesthesia for the elderly hip fractured patient

Curr Opin Anaesthesiol. 2019 Feb;32(1):116-119. doi: 10.1097/ACO.0000000000000679.

Abstract

Purpose of review: There is an urge to improve care for patients with hip fracture. The present review will compare the efficacy of spinal versus general anesthesia for patients requiring hip fracture surgery.

Recent findings: The present review gives an overview with particular emphasis on literature published during the past 24 months.

Summary: So far, no clear evidence form randomized trials exists to identify the best anesthesia technique for hip fracture surgery. However, several large-scale pragmatic trials are ongoing and will provide future guidance.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Age Factors
  • Aged
  • Anesthesia, General / adverse effects*
  • Anesthesia, General / standards
  • Anesthesia, Spinal / adverse effects*
  • Anesthesia, Spinal / standards
  • Anesthetics / adverse effects
  • Clinical Decision-Making
  • Emergence Delirium / epidemiology*
  • Emergence Delirium / etiology
  • Emergence Delirium / prevention & control
  • Fracture Fixation / adverse effects*
  • Hip Fractures / surgery*
  • Humans
  • Patient Care Team / standards
  • Perioperative Care / methods
  • Perioperative Care / standards
  • Randomized Controlled Trials as Topic
  • Treatment Outcome

Substances

  • Anesthetics