Anaesthesia for surgical correction of fractured femoral neck A comparison of three techniques

Abstract

SummaryS h t y patients with fractured neck of femur and scheduled for surgical correction were randomly allocated to receiue one of three anaesthetic techniques: general anaesthesia: spinalana1gesia;psoas compartment block. The patienis in the local anaesthetic groups also received a light general anaesthetic. There was liitle difference in the pre-, intra-and postoperatiue euents, and no difference in postoperative mortality.

Neuraxial anesthesia for orthopedic surgery: systematic review and meta-analysis of randomized clinical trials

“…15 Berggren et al 15 Bigler et al 16 Casati et al 18 Davis et al 22 Davis et al 23 Eroglu et al 25 Hole et al 27 Jones et al 28 Juelsgaard et al 30 McKenzie et al 34 McLaren et al 35 Nielson et al 37 Racle et al 38 Riis et al 39 Valentin et al 41 White et al 42 Williams-Russo et al 43 Random = 0.00; Chi 2 = 14.80, df = 10 (P = 0.14); I 2 = 32% Test for overall effect: Z = 1.15 (P = 0.25) Test for subgroup differences: Chi 2 = 1.29, df = 2 (P = 0.53); I 2 = 0% not possible to pool the data for degree of satisfaction, blood transfusion requirements or quality of life. The data on the degree of satisfaction and blood transfusion requirements were not described correctly in the studies included.…”

“…There was no statistically significant difference considering all types of surgeries (MD = -0.05; 95% CI: -0.69 to 0.58; P = 0.87; 870 participants) (Figure 7). 15,18,38,39,42,43 Postoperative cognitive dysfunction: this outcome was analyzed in six studies. 15,18,38,39,42,44 Three types of surgery were conducted in the studies included.…”

“…16,22,23,27,30,34,35,38,41,42,44 Three types of surgery were conducted in the studies included: hip, femur and knee surgery. There were no statistically significant differences between the types of surgeries (RD = -0.01; 95% CI: -0.04 to 0.01; P = 0.25; 1903 participants) (Figure 4).…”

“…41 In the study by White et al, the authors reported that special attention was given to any respiratory problems during the postoperative period, but they did not report what this attention comprised. 42 …”

“…Thus, 17 articles with the potential to answer our research question were identified. 15,16,18,22,23,25,27,29,30,34,35,[37][38][39]41,42,44 We also analyzed 441 titles from the reference lists of these 17 studies included, but did not find any additional studies (Figure 1). …”