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. Published by Elsevier Ltd.
PY - 2018/8/1
Y1 - 2018/8/1
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.
U2 - 10.1016/j.injury.2018.06.027
DO - 10.1016/j.injury.2018.06.027
M3 - Journal article
C2 - 29958684
SN - 0020-1383
VL - 49
SP - 1403
EP - 1408
JO - Injury
JF - Injury
IS - 8
ER -