Spinal Versus General Anesthesia for Hip Fracture Surgery: A Systematic Review and Meta-analysis
January 31, 2022
Spinal Versus General Anesthesia for Hip Fracture Surgery: A Systematic Review and Meta-analysis
Authored By: Meng Zhu, Yaping Chang, Steve Phillips, Aiden Scholey, Mohit Bhandari On Behalf of OrthoEvidence
Hip fracture is associated with high mortality and morbidity rates. For instance, Downey et al. (2019) identified a 22% mortality rate at 1-year post hip fracture; Zaki et al. (2019) observed a 69.56% morbidity rate in elderly patients who had suffered a hip fracture and undergone a surgical repair.
Patients with hip fractures usually need to be treated surgically in which some mode of anesthesia is necessary. Between spinal anesthesia and general anesthesia, there is an ongoing debate concerning their effectiveness and safety. It is believed that spinal anesthesia may provide a better control of postoperative nausea and vomiting as well as a higher likelihood of....
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Orthopaedic Surgeon - Canada
Many G A patients anticoagulated and sicker than many that can have spinal