Our Experiences of Anesthesia in Hip Surgery

Ersoy, Ayşın; Ervatan, Zekeriya; Ali, Achmet; Kara, Deniz; Sag, Esengul; Adaş, Müjdat

doi:10.5222/otd.2013.033

Cited by 3 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several investigations have attempted to determine whether regional anesthesia offers benefits over general anesthesia for surgeries generally, but evidence remains conflicting. [2,3,[6][7][8] However, discussions on the selection of the most appropriate anesthesia are continuing. [4] In this study, we have had a retrospective search on the effects of age factors and anesthesia methods on mortality in patients who had hip surgery in the geriatric period.…”

Section: Introductionmentioning

confidence: 99%

Effect of Regional or General Anesthesia Methods on Mortality According to Age Groups in Geriatric Hip Surgery Patients

Akcan

Baş

Güleç

2019

Agri

View full text Add to dashboard Cite

Objectives: Hip surgeries performed in elderly patients are important in terms of both the physiological features of geriatric patients and the risks of surgery. The aim of this study was to evaluate the effects of age and the anesthesia method used on morbidity and mortality in geriatric patients who had hip surgery. Methods: Patients who were aged 65 and older who also had hip surgery and had American Society of Anesthesiologists (ASA) Physical Status Scale scores were included in the study. The patients were classified as aged (Group AG) for those ≥65 years of age, and very aged (Group VAG) for those ≥75 years of age. Details obtained from the hospital electronic records system of the patients' age, sex, ASA score, anesthesia method used, intraoperative and postoperative blood transfusion requirements, respiratory and cardiovascular complications, postoperative intensive care requirements, duration of hospital treatment, period of development of any postoperative complications, morbidity, and mortality were evaluated by age group. Results: A total of 258 patients between the ages of 65 and 95 who had hip surgery and available ASA scores were included in the study. In Group VAG, the rate of morbidity and mortality of ASA III and IV patients was high in the postoperative period. Regional anesthesia methods were used more often in Group VAG patients, and there were more cardiovascular complications developing in the intraoperative period in the general anesthesia patients, although there was no difference between anesthesia methods in terms of postoperative morbidity and mortality. Conclusion:In this study of elderly patients who had hip surgery, there was no correlation between the anesthesia method used and morbidity and mortality. Advanced age (≥75 years) and a high ASA score were the most important risk factors for mortality.

show abstract

Section: Introductionmentioning

confidence: 99%

Effect of Regional or General Anesthesia Methods on Mortality According to Age Groups in Geriatric Hip Surgery Patients

Akcan

Baş

Güleç

2019

Agri

View full text Add to dashboard Cite

show abstract

Genel Cerrahi Tarafından Opere Edilerek Yoğun Bakım Ünitesine Kabul Edilen Geriatrik Hastaların İncelenmesi

et al. 2021

View full text Add to dashboard Cite

Bu çalışmada genel cerrahi tarafından ameliyat edilen ve postoperatif yoğun bakım ünitesine kabul edilen 65 yaş üzeri geriatrik hastaların geriye dönük olarak incelenmesi amaçlanmıştır. Materyal ve Metot: Çalışmaya 2017-2018 yılları arasında hastanemiz genel cerrahi kliniği tarafından acil veya elektif olarak operasyona alınan ve postoperatif yoğun bakım ünitesine kabul edilen 54 geriatrik hasta dahil edildi. Hastaların demografik verileri, yoğun bakıma yatış endikasyonu, acil veya elektif cerrahi olup olmadığı, ameliyata alınma nedeni, Amerikan Anestezistler Derneği skoru, inotropik ajan ihtiyacı ve prognozları değerlendirildi. Bulgular: Hastaların (n:54) 33'ü erkek, 21'i kadın ve yaş ortalaması 75,5±6.2 yıl idi. En sık yoğun bakıma alınma nedeni olarak postoperatif solunum yetmezliği (%42.6), ikinci sıklıkta ise perioperatif hemodinamik instabilite (%29.6) saptandı. 65-74 yaş grubunda olgu sayısı daha fazla idi. En sık ileus (%20.4) nedeniyle cerrahi yapıldığı tespit edildi. Hastaların yoğun bakım ünitesine kabulde entübasyon durumu ile Amerikan Anestezistler Derneği skoru arasındaki ilişkinin anlamlı olduğu belirlendi (p=0.017). Ortalama yatış süresi 3,6±3,9 gün olarak bulundu. 10 hasta (%18.5) exitus oldu. Sonuç: Geriatrik hastalarda postoperatif solunum sıkıntısı gelişme sıklığında artışın daha ön planda olduğu, kardiyak ve geçirdikleri cerrahi komplikasyonlara bağlı olarak da yoğun bakımda hemodinamik monitörizasyon ihtiyacının arttığı görülmüştür. Yaşlı hastalardaki cerrahi müdahalenin hasta klinik özelliklerine ve yapılan cerrahiye bağlı olarak postoperatif yoğun bakım ihtiyacını doğurabileceği mutlaka göz önünde bulundurulmalıdır.

show abstract

Evaluation of the effects of two different anesthesia methods on postoperative renal functions in geriatric patients undergoing hip fracture surgery: a prospective randomized trial

BAŞKAN¹,

Zengin

Akçay³

et al. 2022

Anatolian Current Medical Journal

View full text Add to dashboard Cite

Aim: The choice of anesthesia management for hip fracture surgery is among the modifiable risk factors that can affect the outcome. This study aims to investigate the effects of two different anesthesia techniques on kidney functions with the RIFLE (Risk, Injury, Failure, Loss, and End-stage renal failure) risk score in patients who were operated on for hip fracture. Material and Method: Serum creatinine values lower than 1.5 times (Normal value: 1.2 mg/dL) and glomerular filtration rate (GFR) below 60 mg/dl, over 65 years old, without serious comorbidity, hemoglobin (Hb) value over 9 g/dl 60 patients were included. The demographic data and biochemical parameters of the patients were recorded. The patients were randomized into two groups as spinal anesthesia (Group S) and general anesthesia (Group G). During the surgery, a urinary catheter was applied to the patients and urine output was monitored. Balance liquid electrolyte regimen was applied and after Hb control, an appropriate blood regimen was planned with Hb above 9 g/dl. Postoperatively, patients were followed at 6th, 12th, and 24th hours on the first day, and then at 24-hour intervals in the first postoperative week, and were evaluated with the RIFLE risk scores. Results: There was no statistically significant difference between the groups in terms of demographic data, fracture type, laboratory values, and urine volumes (p > 0.05). In the comparison of intragroup urea values, the decrease in the 5th time interval compared to the baseline value was statistically significant in Group G. There was no statistically significant difference between the measurement times in Group S (p > 0.05). Preoperative creatinine values were found to be statistically significantly higher than other measurement times in the patient group in Group S (p < 0.05). In both groups, it was found that all measurement time urine amounts were statistically different from each other (p < 0.05). In comparisons between groups, There was no statistically significant difference in terms of RIFLE risk score and postoperative outcome at all measurement times (p>0.05). Conclusion: There is no difference between the anesthesia method applied in hip fracture surgery and the change in renal function of patients, based on RIFLE criteria and laboratory parameters. In addition, a significant improvement in renal functions was observed in both groups, especially during the discharge period, according to preoperative values, which may indicate that the stress response to surgery can be effectively limited in both anesthesia methods.

show abstract

Our Experiences of Anesthesia in Hip Surgery

Cited by 3 publications

References 0 publications

Effect of Regional or General Anesthesia Methods on Mortality According to Age Groups in Geriatric Hip Surgery Patients

Effect of Regional or General Anesthesia Methods on Mortality According to Age Groups in Geriatric Hip Surgery Patients

Genel Cerrahi Tarafından Opere Edilerek Yoğun Bakım Ünitesine Kabul Edilen Geriatrik Hastaların İncelenmesi

Evaluation of the effects of two different anesthesia methods on postoperative renal functions in geriatric patients undergoing hip fracture surgery: a prospective randomized trial

Contact Info

Product

Resources

About