Does regional anesthesia improve postoperative neurocognitive outcomes compared to general anesthesia in elderly patients undergoing hip fracture surgery?
Anesthesia choice for hip-fracture surgery in elderly patients does not significantly impact short-term postoperative cognitive dysfunction and should be individualized.
No significant difference was found in the incidence of cognitive dysfunction after either general or regional anesthesia in elderly patients. Our finding of similar outcomes at 24 h, 3 days and 7 days postoperatively with either technique suggests that anesthesia choices for hip-fracture surgery may be based on the individual characteristics of each patient rather than on anticipated differences in clinical outcomes.
Sandeep et al. (Sat,) studied this question.