Peripheral nerve blocks with sedation using propofol and alfentanil target-controlled infusion for hip fracture surgery: a review of 6 years in use - 19/02/16
, M. Stafford, MB, FRCA b , M. McKinney, MD, FARCSI b , R. Deyermond, MB, FARCSI b , K. Dane c Abstract |
Background and objectives |
Over the last 6 years, our center has introduced a novel technique combining peripheral nerve blocks (femoral and lateral femoral cutaneous nerves) with sedation using propofol with alfentanil target-controlled infusion for hip fracture surgery. The purpose of this review was to identify if adverse outcomes (of mortality and length of stay) were associated with its introduction compared to spinal or general anesthesia.
Methods |
Retrospective data collection from hospital fracture database. Data were analyzed using Cox regression (adjusted for age, sex, and American Society of Anesthesiologists grade) to compare survival and length of stay data across the different anesthetic techniques used for hip fracture surgery.
Results |
This technique was used in 472 (20%) of 2360 hip fractures. There was no significant difference between peripheral nerve blocks with propofol/alfentanil sedation/analgesia for mortality up to 120days (hazard ratio, 0.76; 95% confidence interval, 0.54-1.06; P=.11) and length of stay (hazard ratio, 1.03; 95% confidence interval, 0.91-1.17; P=.63) when compared to the other anesthetic techniques of spinal and general anesthesia.
Conclusion |
This novel technique does not appear to be associated with adverse mortality or length of stay after hip fracture surgery.
Le texte complet de cet article est disponible en PDF.Highlights |
• | We describe a novel anesthetic technique for hip fracture surgery. |
• | This technique involves peripheral nerve block with sedation. |
• | We examine retrospective data of 6 years of its use. |
• | We analyzed data to assess if this technique was associated with adverse outcomes. |
• | There were no apparent adverse outcomes conferred by this technique. |
Keywords : Hip fracture, Sedation, Propofol, Target controlled infusion, Femoral nerve block
Plan
| ☆ | This is an original manuscript. The contents of this submission have not been published elsewhere, and the paper is not being submitted elsewhere. This manuscript has been read and approved by all coauthors. |
| ☆☆ | Disclosures: None declared. |
Vol 29
P. 33-39 - mars 2016 Retour au numéro
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