Anesthesia Management of Hip Fracture Surgery in Geriatric Patients: A Review.

Division

East Florida

Hospital

Westside Regional Medical Center

Document Type

Review Article

Publication Date

9-25-2024

Keywords

anesthesia management, elderly hip fracture, geriatric anesthesia, geriatric hip fracture, orthopedic anesthesia

Disciplines

Anesthesia and Analgesia | Anesthesiology | Medicine and Health Sciences

Abstract

Hip fractures are increasingly prominent concerns in healthcare, especially in light of a growing elderly population. These fractures contribute to mortality and morbidity in the elderly. Many hip fractures require emergent surgical intervention and may have consequences of serious postoperative complications. Multidisciplinary approaches of management have been utilized to optimize care and improve patient outcomes. Due to the myriad of multi-organ system comorbidities that are increasingly prevalent in the geriatric population, anesthetic management proves to be difficult to standardize. Enhanced Recovery After Surgery (ERAS) protocols have shown benefits for optimizing patient outcomes by focusing on premedication, nutritional support, and pain management; however, specific anesthetic management techniques are not discussed. This literature review aims to discuss ways to optimize hip fracture management in geriatric patients through effective preoperative evaluation, anesthetic considerations, and postoperative optimization and care. A review of currently available guidelines may help determine the optimal management for hip fractures in geriatric patients and improve immediate and lasting postoperative outcomes.

Publisher or Conference

Cureus

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