Why the study?
Do different anaesthetic techniques (spinal analgesia, psoas compartment block, or general anaesthesia) affect perioperative events and mortality in patients undergoing surgical correction of fractured femoral neck?
Do different anaesthetic techniques (spinal analgesia, psoas compartment block, or general anaesthesia) affect perioperative events and mortality in patients undergoing surgical correction of fractured femoral neck?
There appears to be no significant difference in clinical outcomes or mortality between general anaesthesia, spinal analgesia, and psoas compartment block for surgical correction of fractured femoral neck.
Equivalent perioperative safety across techniques for hip fracture repair; confirms no mortality or event differences in this RCT.
Sixty patients with fractured neck of femur and scheduled for surgical correction were randomly allocated to receive one of three anaesthetic techniques: general anaesthesia; spinal analgesia; psoas compartment block. The patients in the local anaesthetic groups also received a light general anaesthetic. There was little difference in the pre-, intra- and postoperative events, and no difference in postoperative mortality.
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White et al. (1980) studied this question.
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