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Advantages and Issues of Concern Regarding Approaches to Peripheral Nerve Block for Total Hip Arthroplasty

Overview
Specialty General Medicine
Date 2022 Jan 24
PMID 35071584
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Abstract

In older patients with comorbidities, hip fractures are both an important and debilitating condition. Since multimodal and multidisciplinary perioperative strategies can hasten functional recovery after surgery improving clinical outcomes, the choice of the most effective and safest pathway represents a great challenge. A key point of concern is the anesthetic approach and above all the choice of the locoregional anesthesia combined with general or neuraxial anesthesia.

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References
1.
Della Rocca G, Biggi F, Grossi P, Imberti D, Landolfi R, Palareti G . Italian intersociety consensus statement on antithrombotic prophylaxis in hip and knee replacement and in femoral neck fracture surgery. Minerva Anestesiol. 2011; 77(10):1003-10. View

2.
Diakomi M, Papaioannou M, Mela A, Kouskouni E, Makris A . Preoperative fascia iliaca compartment block for positioning patients with hip fractures for central nervous blockade: a randomized trial. Reg Anesth Pain Med. 2014; 39(5):394-8. DOI: 10.1097/AAP.0000000000000133. View

3.
Ficari F, Borghi F, Catarci M, Scatizzi M, Alagna V, Bachini I . Enhanced recovery pathways in colorectal surgery: a consensus paper by the Associazione Chirurghi Ospedalieri Italiani (ACOI) and the PeriOperative Italian Society (POIS). G Chir. 2020; 40(4Supp.):1-40. View

4.
Swayambunathan J, Dasgupta A, Rosenberg P, Hannan M, Kiel D, Bhattacharyya T . Incidence of Hip Fracture Over 4 Decades in the Framingham Heart Study. JAMA Intern Med. 2020; 180(9):1225-1231. PMC: 7385683. DOI: 10.1001/jamainternmed.2020.2975. View

5.
Del Buono R, Pascarella G, Barbara E . General or neuraxial in the hip fractured patient? I choose the third option. Saudi J Anaesth. 2019; 13(3):269-270. PMC: 6625296. DOI: 10.4103/sja.SJA_818_18. View