Fascia iliaca block associated only with deep sedation in high-risk patients, taking P2Y12 receptor inhibitors, for intramedullary femoral fixation in intertrochanteric hip fracture: a series of 3 cases

Almeida, Carlos Rodrigues; Francisco, E.; Pinho-Oliveira, Vítor; Assunção, José Pedro

doi:10.1016/j.jclinane.2016.08.013

Cited by 12 publications

(10 citation statements)

References 21 publications

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“…We merely sorted into three main techniques: neuraxial, general and combined anaesthesia. Peripheral blocks and light anaesthesia/sedation may indeed be an option 10 , 11 . We have not considered this surgical technique in the present study.…”

Section: Discussionmentioning

confidence: 99%

Acute hip fracture surgery anaesthetic technique and 30-day mortality in Sweden 2016 and 2017: A retrospective register study

Gremillet

Jakobsson

2018

F1000Res

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Background: Hip fractures affect 1.6 million patients yearly worldwide, often elderly with complex comorbidity. Mortality following surgery for acute hip fracture is high and multifactorial; high age, comorbidities and complication/deterioration in health following surgery. Whether the anaesthesia technique affects the 30-day mortality rate has been studied widely without reaching a consensus. The primary aim of this study was to determine anaesthetic techniques used in Sweden and their impact on the 30-day mortality rate in elderly undergoing acute hip fracture surgery. Other aims were to study the impact of age, gender, ASA class, fracture type and delay in surgery on the 30-day mortality rate. Methods: Data from 13,649 patients ≥50 years old who had undergone acute hip fracture surgery and been reported to Swedish perioperative register (SPOR) between 2016 and 2017 were analysed. Results: The most commonly used anaesthetic technique was neuraxial anaesthesia (NA; 11,257, 82%), followed by general anaesthesia (GA; 2,190, 16%) and combined general and neuraxial anaesthesia (CA; 202, 1.5%) out of the 13,649 studied. The 30-day mortality rate was 7.7% for the entire cohort; GA 7.8%, NA 7.7% and CA 7.4%. Mortality was higher in elderly patients, those with a high ASA class, pertrochanteric fracture and males. Conclusions: The present study showed that NA is by far the most common anaesthetic technique for acute hip fracture surgery in Sweden. However, the anaesthetic technique used during this type of surgery had no impact on the 30-day mortality rate in patients. Increasing age, ASA class and male gender increased the 30-day mortality.

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Section: Discussionmentioning

confidence: 99%

Acute hip fracture surgery anaesthetic technique and 30-day mortality in Sweden 2016 and 2017: A retrospective register study

Gremillet

Jakobsson

2018

F1000Res

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“…[20][21][22] Ropivacaine causes less intense motor blockade than racemic bupivacaine when performing neuraxial anesthesia. The levobupivacaine when used for the same indications causes less intense motor blockade than racemic bupivacaine.…”

Section: General Comments On the Use Of Las In Childrenmentioning

confidence: 99%

The European Society of Regional Anaesthesia and Pain Therapy/American Society of Regional Anesthesia and Pain Medicine Recommendations on Local Anesthetics and Adjuvants Dosage in Pediatric Regional Anesthesia

Suresh

Ecoffey

Bösenberg

et al. 2018

Regional Anesthesia and Pain Medicine

116

129

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“…Almeida et al showed that FICB under sedation was sufficient for surgery in hip fracture patients receiving anticoagulant drugs. 30 We believe that US-guided S-FICB may be used in patients using antiplatelet or anticoagulant drugs and could offer a substantial advantage for both anesthesia and analgesia for hip fracture surgery. These patients should be monitored more closely due to the development of hematoma in addition to the described complications.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the suprainguinal fascia iliaca compartment block with continuous epidural analgesia in patients undergoing hip surgeries: a retrospective study

Azizoğlu

Rumeli

2022

Brazilian Journal of Anesthesiology (English Edition)

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Fascia iliaca block associated only with deep sedation in high-risk patients, taking P2Y12 receptor inhibitors, for intramedullary femoral fixation in intertrochanteric hip fracture: a series of 3 cases

Cited by 12 publications

References 21 publications

Acute hip fracture surgery anaesthetic technique and 30-day mortality in Sweden 2016 and 2017: A retrospective register study

Acute hip fracture surgery anaesthetic technique and 30-day mortality in Sweden 2016 and 2017: A retrospective register study

The European Society of Regional Anaesthesia and Pain Therapy/American Society of Regional Anesthesia and Pain Medicine Recommendations on Local Anesthetics and Adjuvants Dosage in Pediatric Regional Anesthesia

Comparison of the suprainguinal fascia iliaca compartment block with continuous epidural analgesia in patients undergoing hip surgeries: a retrospective study

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