Key result
Spinal anesthesia for hemiarthroplasty combined with hydroxychloroquine therapy yielded a favorable outcome in a 100-year-old COVID-positive patient with a hip fracture.
Why the study?
The global COVID-19 pandemic introduced unprecedented challenges to managing elderly hip fracture patients, who already face myriad perioperative risks.
Case Report (n=1)
Spinal anesthesia and early surgical intervention can be successfully performed in a centenarian with COVID-19 and a hip fracture.
Does not support practice change; leaves open optimal perioperative protocols for COVID-positive centenarians undergoing hip surgery.
Elderly patients undergoing hip fracture surgery represent a myriad of perioperative challenges and risks. The arrival of the global pandemic of novel coronavirus disease 2019 (COVID-19) adds an unprecedented challenge to the management of hip fracture patients. We describe the unique experience and favorable outcome of a 100-year-old COVID-positive hip fracture patient that underwent spinal anesthesia for hemiarthroplasty and subsequent hydroxychloroquine (HCQ) therapy. Multiple factors of varying known benefit may have contributed to our outcome, including preoperative medical consultation and assessment, early surgical intervention, regional anesthesia with little to no sedation, early mobilization and HCQ therapy.
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Beathe et al. (2020) conducted a case report in COVID-19 and hip fracture (n=1). Spinal anesthesia and hydroxychloroquine therapy was evaluated on Clinical outcome. Spinal anesthesia for hemiarthroplasty combined with hydroxychloroquine therapy yielded a favorable outcome in a 100-year-old COVID-positive patient with a hip fracture.
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