Features | Partner Sites | Information | LinkXpress
Sign In
RG Advertising
KOREA E & EX
Schiller

Anesthesia Technique Immaterial for Hip Surgery

By HospiMedica International staff writers
Posted on 08 Jul 2014
A new study shows that regional anesthesia for hip fracture surgery, advocated as a safer alternative to general anesthesia (GA), did not result in fewer deaths after the procedure.

Researchers at the University of Pennsylvania (Philadelphia, USA) and Columbia University (New York, NY, USA) conducted a matched retrospective cohort study involving 56,729 patients 50 years or older who underwent hip fracture surgery in New York State between 2004 and 2011. In all, 15,904 (28%) received regional (spinal or epidural) anesthesia, and 40,825 (72%) received GA. The main outcome measure was 30 day mortality and hospital length of stay. Overall, 3,032 patients (5.3%) died.

The 30-day mortality rate was 5.4% among patients who lived around centers specializing in spinal or epidural blockade plus sedation, compared with 5.8% for those who resided around centers doing GA for the surgery. A comparison of the two approaches within hospitals using both approaches likewise turned up no significant difference in early survival. But a matched analysis showed 0.6-day's shorter stays among patients near a regional anesthesia-specialized center versus near a GA-specialized center. The study was published in the June 25, 2014, issue of the Journal of the American Medical Association (JAMA).

“Among adults in acute care hospitals in New York State undergoing hip repair, the use of regional anesthesia compared with general anesthesia was not associated with lower 30-day mortality but was associated with a modestly shorter length of stay,” concluded lead author Mark Neuman, MD, of the University of Pennsylvania, and colleagues. “A comparison of the two approaches within hospitals using both likewise turned up no benefit. These findings do not support a mortality benefit for regional anesthesia in this setting.”

Regional anesthesia has remained in the minority for hip fracture procedures, despite a push from practice guidelines calling for broader use of regional anesthesia for hip fracture surgery as a strategy to improve quality of care and cut postoperative complications.

Related Links:

University of Pennsylvania
Columbia University



Channels

Surgical Techniques

view channel

Raman Scattering Helps Evaluate Laser Ablation

Raman spectroscopy can be used to differentiate squamous cell carcinoma (SCC) from normal skin following treatment with high-powered lasers, according to a new study. Researchers at Florida Atlantic University (FAU; Boca Raton, USA) obtained 25 tissue samples from 11 patients undergoing Mohs micrographic surgery for... Read more

Women's Health

view channel

Nitrous Oxide for Labor Makes US Comeback

Long used for its anxiolytic properties during labor in European countries and Canada, nitrous oxide (N2O) use is resurging in the United States. While in countries such as Norway, New Zealand, Sweden, Australia, and England, usage rates of inhalational N2O during parturition reach 70%, it has only recently become an... Read more

Health IT

view channel
Image: Remote Intelligent Telehealth Assistant (RITA) (Photo courtesy of PR Newswire).

Telehealth Robot Launched to Increase Productivity of Doctors in Clinics and Hospitals

A robot uses high-definition monitors, high-speed components, and wireless communications, and serves as a telehealth media center to give doctors more flexibility in treating and assisting patients remotely.... Read more

Business

view channel

Pfizer to Buy Hospira to Bolster Hospital Products

Pfizer (New York, NY, USA) has entered into a definitive merger agreement with Hospira (Lake Forest, IL, USA), in a move designed to significantly enhance their global established pharmaceutical (GEP) business, for a total enterprise value of approximately USD 17 billion. The strategic complementary combination will... Read more
 
Copyright © 2000-2015 Globetech Media. All rights reserved.