Anaesthetic aspects in the treatment of fragility fracture patients

作者：White S M^*; Foss N B; Griffiths R

来源：Injury-International Journal of the Care of the Injured, 2018, 49(8): 1403-1408.

DOI：10.1016/j.injury.2018.06.027

• Hip fractures, anaesthesia
• Hip fractures, epidemiology
• Hip fractures, mortality

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.

• 出版日期2018-8