Perioperative pain management in elderly patients with а proximal femoral fracture: evidence review
The purpose of this article is to compare different methods of analgesia during perioperative period in elderly patients with а proximal femoral fracture. The incidence of hip fracture is high and also rises with the age, for example, In Great Britain, number of patients with a hip fracture will be...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Interdisciplinary Academy of Pain Medicine
2020-02-01
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| Series: | Медицина болю |
| Subjects: | |
| Online Access: | https://painmedicine.org.ua/index.php/pnmdcn/article/view/200 |
| _version_ | 1819050757351014400 |
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| author | Anastasiia Romanenko Iurii Kuchyn Kateryna Bielka Igor Tokar |
| author_facet | Anastasiia Romanenko Iurii Kuchyn Kateryna Bielka Igor Tokar |
| author_sort | Anastasiia Romanenko |
| collection | DOAJ |
| description | The purpose of this article is to compare different methods of analgesia during perioperative period in elderly patients with а proximal femoral fracture. The incidence of hip fracture is high and also rises with the age, for example, In Great Britain, number of patients with a hip fracture will be approximately 100 000 in 2033, and it’s also associated with significant healthcare financing. Nevertheless, effective pain management is a big challenge for clinicians because of considerable problems in geriatric patients, including age, physiological changes in the elderly, preexisting comorbidities, cognitive impairment, high risk of delirium, problems with rehabilitation and probability of an independent life [12]. Opioids are still the main option for hip fracture pain management, despite differences in pharmacokinetics and pharmacodynamics in elderly patients, which are correlated with high frequency of side effects. Opioid-related adverse drug events are associated with worse patient outcomes such as morbidity, mortality and length of stay increase. Therefore, peripheral nerve blocks as part of multimodal analgesic technique can provide more effective pain control after hip fracture. Comprehensive literature searches focus on the use of peripheral nerves blocks as preoperative analgesia, as postoperative analgesia or as a supplement to general anesthesia for hip fracture surgery. |
| first_indexed | 2024-12-21T11:53:07Z |
| format | Article |
| id | doaj.art-38c0f264dfdd473a8027a037cbeabad5 |
| institution | Directory Open Access Journal |
| issn | 2414-3812 2519-2752 |
| language | English |
| last_indexed | 2024-12-21T11:53:07Z |
| publishDate | 2020-02-01 |
| publisher | Interdisciplinary Academy of Pain Medicine |
| record_format | Article |
| series | Медицина болю |
| spelling | doaj.art-38c0f264dfdd473a8027a037cbeabad52022-12-21T19:05:00ZengInterdisciplinary Academy of Pain MedicineМедицина болю2414-38122519-27522020-02-0144424910.31636/pmjua.v4i4.2200Perioperative pain management in elderly patients with а proximal femoral fracture: evidence reviewAnastasiia RomanenkoIurii KuchynKateryna BielkaIgor TokarThe purpose of this article is to compare different methods of analgesia during perioperative period in elderly patients with а proximal femoral fracture. The incidence of hip fracture is high and also rises with the age, for example, In Great Britain, number of patients with a hip fracture will be approximately 100 000 in 2033, and it’s also associated with significant healthcare financing. Nevertheless, effective pain management is a big challenge for clinicians because of considerable problems in geriatric patients, including age, physiological changes in the elderly, preexisting comorbidities, cognitive impairment, high risk of delirium, problems with rehabilitation and probability of an independent life [12]. Opioids are still the main option for hip fracture pain management, despite differences in pharmacokinetics and pharmacodynamics in elderly patients, which are correlated with high frequency of side effects. Opioid-related adverse drug events are associated with worse patient outcomes such as morbidity, mortality and length of stay increase. Therefore, peripheral nerve blocks as part of multimodal analgesic technique can provide more effective pain control after hip fracture. Comprehensive literature searches focus on the use of peripheral nerves blocks as preoperative analgesia, as postoperative analgesia or as a supplement to general anesthesia for hip fracture surgery.https://painmedicine.org.ua/index.php/pnmdcn/article/view/200analgesiafemoral fracturepsoas compartment blockparacetamolopioidsdelirium |
| spellingShingle | Anastasiia Romanenko Iurii Kuchyn Kateryna Bielka Igor Tokar Perioperative pain management in elderly patients with а proximal femoral fracture: evidence review Медицина болю analgesia femoral fracture psoas compartment block paracetamol opioids delirium |
| title | Perioperative pain management in elderly patients with а proximal femoral fracture: evidence review |
| title_full | Perioperative pain management in elderly patients with а proximal femoral fracture: evidence review |
| title_fullStr | Perioperative pain management in elderly patients with а proximal femoral fracture: evidence review |
| title_full_unstemmed | Perioperative pain management in elderly patients with а proximal femoral fracture: evidence review |
| title_short | Perioperative pain management in elderly patients with а proximal femoral fracture: evidence review |
| title_sort | perioperative pain management in elderly patients with а proximal femoral fracture evidence review |
| topic | analgesia femoral fracture psoas compartment block paracetamol opioids delirium |
| url | https://painmedicine.org.ua/index.php/pnmdcn/article/view/200 |
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